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

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Coward, O.D.NPI 1134166986

Title

President

Phone

(312) 771-7411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David James Coward, O.D

  • Optometrist
  • Henderson, NC
  • NPI 1134166986
  Medicare reassignment NPD Authorized official
• Urvi Joshi, O.D.

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

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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

• Optometrist in Henderson, NC
• Providers in Henderson, NC by specialty
• 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.