The Raleigh Eye Center

Primary specialty

OpticianTaxonomy code 156FX1800X

License

350 Issued in NC

Legal business name

THE RALEIGH EYE CENTER

Practice address

3320 Executive Dr
Suite 111
Raleigh, NC 27609-7445

Phone

(919) 876-2485

Fax

(919) 850-9284

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Hawkins Jr.

Title

Optician

Phone

(919) 876-2485

Specialties & licenses 1

Addresses

Other names 1

• THE OPTICAL DISPENSARY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Raleigh Eye Center, PA

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1902857675

  O20100930023398

  Same enrollment

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1457314437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-876-2485",
            "fax_number": "919-850-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-876-2485",
            "fax_number": "919-850-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RALEIGH EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "919-876-2485",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE OPTICAL DISPENSARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Mindful Connection, PLLC
• The Neuropsychology Consultants, PA
• The Next Step Community Services
• The Perspectives Collective, PLLC
• The Raleigh Black Chamber of Commerce
• The Raw Love Foundation
• The Reframing Center PLLC
• The Resiliency Collaborative
• The Rosalie Foundation LLC
• The Seed Planter Coaching & Counseling

• Optician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.