Active NPI
Doctors Vision Center OD PA
- Optometrist
- Asheville, NC
National Provider Identifier
1437193125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DOCTORS VISION CENTER OD PA
- Practice address
- 3 Walden Ridge Dr
Suite 100
Asheville, NC 28803-8586 - Phone
- (828) 681-5959
- Fax
- (828) 681-5960
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina M Burgess
- Title
- Credentialing Specialist
- Phone
- (252) 442-0802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3 Walden Ridge Dr
Suite 100
Asheville, NC 28803-8586
Mailing address
3 Walden Ridge Dr
Suite 100
Asheville, NC 28803-8586
Phone (828) 681-5959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903903 | Medicaid | NC | |
| 018GY | Other | NC | BCBS GROUP NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255910400000",
"number": "1437193125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WALDEN RIDGE DR",
"address_2": "SUITE 100",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288038586",
"telephone_number": "828-681-5959",
"fax_number": "828-681-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WALDEN RIDGE DR",
"address_2": "SUITE 100",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288038586",
"telephone_number": "828-681-5959",
"fax_number": "828-681-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS VISION CENTER OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2009-10-19",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "252-442-0802"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903903",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "018GY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
- Megan Elizabeth Docherty, M.D.
- Hali Bosma Dockery, FNP
- Doctors Chambers, Baechtold,McKenzie and Haldeman, D.D.S.,P.a.
- Doctors Hoski and Moody PA
- Doctors Hoski and Moody PC
- Doctors Vision Center of Asheville OD PLLC
- Diana Marie Dodd, PA-C
- Richard C Dodd, M.D.
- Suzanne E Doddridge, OTRL
- Bonnie Meredith Dodge, LCMHCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.