Optometric Eye Site PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC 1947 Issued in NC

Legal business name

OPTOMETRIC EYE SITE PLLC

Practice address

200 N Cooper Dr
Wal Mart Vision Center
Henderson, NC 27536-4016

Phone

(252) 430-7708

NPI assigned

Feb 5, 2008

Organization subpart

No

Name

Dr. David Coward, O.D.NPI 1134166986

Title

President

Phone

(312) 771-7411

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David James Coward, O.D

  • Optometrist
  • Henderson, NC
  • NPI 1134166986

  NC, Optometrist

  Medicare reassignment NPD Authorized official
• Urvi Joshi, O.D.

  • Optometrist
  • Durham, NC
  • NPI 1770725152
  NPD (past)
• Michelle Ginah Yun, O.D.

  • Optometrist
  • Cary, NC
  • NPI 1609177120
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NC

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2008.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1437337136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12134",
            "address_2": "OPTOMETRIC EYE SITE PLLC",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277092134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N COOPER DR",
            "address_2": "WAL MART VISION CENTER",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364016",
            "telephone_number": "252-430-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC EYE SITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-771-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC 1947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134166986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omni Visions, Inc.
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• Omni Visions, Inc.
• Omni Visions, Inc.
• Orthopaedic Specialists of North Carolina, P.a.
• Orthopaedic Specialists of North Carolina, PA
• Tina Marie Ouellette, FNP-C
• Brenda K Owens, LCSW
• Oxford Homecare LLC

• All providers in Henderson, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.