Organization Active NPI

Brierdale Optometry PA

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1477801876
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1776 Issued in NC
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

Updated by the provider on Aug 14, 2013

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.NPI 1235182858
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
026Y1OtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Triangle Eye Institute, OD PA Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.