Active NPI
Albert R Munn III MD PA
- Ophthalmologic Surgery Clinic/Center
- Raleigh, NC
National Provider Identifier
1457474355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 41028
- Legal business name
- ALBERT R MUNN III MD PA
- Practice address
- 720 W Jones St
Raleigh, NC 27603-1427 - Phone
- (919) 834-8341
- Fax
- (919) 833-6008
- NPI assigned
- Apr 8, 2007
- Organization subpart
- Yes
- Parent organization
- CAPITAL EYE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert R Munn III, M.D.
- Title
- President
- Phone
- (919) 834-7341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 41028 | NC | Primary |
Addresses
Primary practice location
720 W Jones St
Raleigh, NC 27603-1427
Mailing address
720 W Jones St
Raleigh, NC 27603-1427
Phone (919) 834-8341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890154N | Medicaid | NC |
Other names 1
- CAPITAL EYE CENTER
National Provider Directory
National Provider Directory- Part of
- Capital Eye Center
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ophthalmology Physician
- Raleigh, NC
- NPI 1104235001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1457474355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W JONES ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031427",
"telephone_number": "919-834-8341",
"fax_number": "919-833-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W JONES ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031427",
"telephone_number": "919-834-8341",
"fax_number": "919-833-6008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT R MUNN III MD PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAPITAL EYE CENTER",
"enumeration_date": "2007-04-08",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "MUNN",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-834-7341",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "NC",
"license": "41028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890154N",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAPITAL EYE CENTER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.