Eyebridge Consulting Associates Odpa

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEBRIDGE CONSULTING ASSOCIATES ODPA

Practice address

201 W Church St
Cherryville, NC 28021-2805

Phone

(704) 425-2020

Fax

(704) 435-5267

NPI assigned

Jan 24, 2006

Last updated

Jan 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann M Hoscheit, OD

Title

Owner

Phone

(704) 616-8262

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Summit Eye Associates ODPA Former legal business name

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1487624425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HIDDEN PASTURES DR STE 207",
            "city": "CRAMERTON",
            "state": "NC",
            "postal_code": "280321698",
            "telephone_number": "704-616-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212805",
            "telephone_number": "704-425-2020",
            "fax_number": "704-435-5267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Hidden Pastures Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Cramerton",
            "state": "NC",
            "postal_code": "280321698",
            "country_code": "US",
            "telephone_number": "704-616-8262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Summit Crossing Pl",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542142",
            "country_code": "US",
            "telephone_number": "704-865-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYEBRIDGE CONSULTING ASSOCIATES ODPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "HOSCHEIT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-616-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2296",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "018KE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Eye Associates ODPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Cherryville, NC
• Providers in Cherryville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.