Active NPI
Brierdale Optometry PA
- Optometrist
- Raleigh, NC
National Provider Identifier
1477801876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1776
- Legal business name
- BRIERDALE OPTOMETRY PA
- Practice address
- 10371 Moncreiffe Rd
Suite 105
Raleigh, NC 27617-7817 - Phone
- (919) 341-4435
- Fax
- (919) 341-5273
- NPI assigned
- Aug 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Osama H Said, O.D.
- Title
- Owner
- Phone
- (919) 881-0900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1776 | NC | Primary |
Addresses
Primary practice location
10371 Moncreiffe Rd
Suite 105
Raleigh, NC 27617-7817
Mailing address
3214 Charles B Root Wynd
Suite 155
Raleigh, NC 27612-5440
Phone (919) 881-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026Y1 | Other | NC | BLUE CROSS BLUE SHIELD |
Other names 1
- Triangle Eye Institute, OD PA
National Provider Directory
National Provider DirectoryLocations
10371 Moncreiffe Rd
Ste 105
Raleigh, NC 27617
Phone (919) 341-4435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Raleigh, NC
- NPI 1235182858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1477801876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 CHARLES B ROOT WYND",
"address_2": "SUITE 155",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125440",
"telephone_number": "919-881-0900",
"fax_number": "919-341-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10371 MONCREIFFE RD",
"address_2": "SUITE 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177817",
"telephone_number": "919-341-4435",
"fax_number": "919-341-5273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIERDALE OPTOMETRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "SAID",
"authorized_official_first_name": "OSAMA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-881-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "1776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "026Y1",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Triangle Eye Institute, OD PA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.