Magnolia Eye Care, O.D. PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAGNOLIA EYE CARE, O.D. PLLC

Practice address

141 Spruce Pine Way
Suite C
King, NC 27021

Phone

(336) 407-7197

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Candice C Fix, ODNPI 1528253853

Title

Optometrist/Owner

Phone

(336) 407-7197

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.

• Candice Cain Fix, OD

  • Optometrist
  • King, NC
  • NPI 1528253853
  Medicare reassignment Care Compare group NPD Authorized official
• Sonja Makitan, OD

  • Optometrist
  • King, NC
  • NPI 1306605324
  Medicare reassignment Care Compare group NPD
• Makayla Shore Sperbeck, OD

  • Optometrist
  • King, NC
  • NPI 1215736632
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1447898754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2349",
            "city": "KING",
            "state": "NC",
            "postal_code": "270212349",
            "telephone_number": "336-407-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SPRUCE PINE WAY",
            "address_2": "SUITE C",
            "city": "KING",
            "state": "NC",
            "postal_code": "27021",
            "telephone_number": "336-407-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA EYE CARE, O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "336-407-7197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Stewart Long, M.D.
• Joseph Lutgen
• Lydias Hope
• Emily Rose Marshall Lynch, MSN, APRN, FNP-C
• Kristy Lynette Mabe, LCSW
• Sonja Makitan, OD
• Heidi C Marlowe-Rogers, MD
• Heather Marshall, PTA
• Jennifer Ann Law Martin, PA-C
• Corinne May

• Optometrist in King, NC
• Providers in King, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.