Winston Salem Optometric Group PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2045 Issued in NC

Legal business name

WINSTON SALEM OPTOMETRIC GROUP PA

Practice address

302 S Stratford Rd
Suite B
Winston Salem, NC 27103-1856

Phone

(336) 722-5346

Fax

(336) 722-5348

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Calvin Presnell

Title

Manager

Phone

(336) 722-5346

Specialties & licenses 1

Addresses

Other names 1

• C distinctive eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

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

• Melissa E Heisler, OD

  • Corneal and Contact Management Optometrist
  • Winston Salem, NC
  • NPI 1366922197
  Medicare reassignment Care Compare group NPD
• Minh Ha Nguyen, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1700435468
  Medicare reassignment Care Compare group NPD
• Jillian I Okeefe, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1821153230
  Medicare reassignment Care Compare group NPD
• Marium Warsi-Zehri, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1073019998
  Medicare reassignment NPD
• Daniel Joseph Sullivan, O.D.

  • Optometrist
  • Boone, NC
  • NPI 1750320404
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1457511586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S STRATFORD RD",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031856",
            "telephone_number": "336-722-5346",
            "fax_number": "336-722-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S STRATFORD RD",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031856",
            "telephone_number": "336-722-5346",
            "fax_number": "336-722-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON SALEM OPTOMETRIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-722-5346"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C distinctive eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winston Psychiatric Associates PA
• Winston Salem Dermatology & Surgery
• Winston Salem Healthcare LLC
• Winston Salem Holdings LLC
• Winston Salem Industries for the Blind
• Winston Salem Rehab Operations LLC
• Winston Salem State University
• Winston Salem State University, a. H. Ray Student Health Service
• Winston Salem Womancare II LLC
• Winston-Salem Chiropractic, Inc

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.