Carolina Vision Associates, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC1907 Issued in NC

Legal business name

CAROLINA VISION ASSOCIATES, OD, PA

Practice address

5301 B Market St
Carolina Vison Associates, OD, PA
Wilmington, NC 28405

Phone

(910) 202-6765

Fax

(910) 397-9245

NPI assigned

Aug 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Floyd Jackson, O.D.NPI 1407906084

Title

President

Phone

(910) 264-7989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Jonathan Floyd Jackson, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1407906084
  Medicare reassignment Care Compare group NPD Authorized official
• Carolyn Talbert Bryan, OD

  • Optometrist
  • Wilmington, NC
  • NPI 1710467980
  Medicare reassignment Care Compare group NPD
• Sheila Cassioli Cooper, OD

  • Optometrist
  • Wilmington, NC
  • NPI 1073657383
  NPD

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1487902334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 B MARKET ST",
            "address_2": "CAROLINA VISON ASSOCIATES, OD, PA",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-202-6765",
            "fax_number": "910-397-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 B MARKET ST",
            "address_2": "CAROLINA VISON ASSOCIATES, OD, PA",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-202-6765",
            "fax_number": "910-397-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VISION ASSOCIATES, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-264-7989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Pediatrics
• Carolina Prime Internal Medicine,PA
• Carolina Skin & Vein Center Inc.
• Carolina Sports Medicine &Orthopaedic Specialists PA
• Carolina SZ, LLC
• Carolinas Fertility Institute, P.a.
• Carolinas Oral & Facial Surgery Center, Inc.
• Tracy Carpenter-Labrecque, DC
• Brittney Carpenter, LCSWA
• Keeley Nicole Carpenter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.