Carolina Vision Optometrists PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2466 Issued in NC

Legal business name

CAROLINA VISION OPTOMETRISTS PLLC

Practice address

1431 Smokey Park Highway
Candler, NC 28715

Phone

(828) 665-1577

Fax

(828) 667-5061

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Carrie Moore Quilla, ODNPI 1932589272

Title

Optometrist

Phone

(336) 414-5095

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Carrie Moore Quilla, O.D.

  • Optometrist
  • Candler, NC
  • NPI 1932589272
  Medicare reassignment Care Compare group NPD Authorized official
• Jamin D Quilla, O.D.

  • Optometrist
  • Candler, NC
  • NPI 1386193050
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507420800000",
    "number": "1497285241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287150399",
            "telephone_number": "828-665-1577",
            "fax_number": "828-667-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SMOKEY PARK HIGHWAY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "28715",
            "telephone_number": "828-665-1577",
            "fax_number": "828-667-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VISION OPTOMETRISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-10-08",
        "status": "A",
        "authorized_official_last_name": "QUILLA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "336-414-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2465",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Medical, Inc.
• Carolina Adventist Retirement Systems, Inc.
• Carolina Mountain Dda Group Home
• Carolina Mountain Pharmacy Inc
• Carolina MTN Dda
• Amanda Carroll
• Mayka Chaves, PHARMD
• Christopher Scott Miller DDS PA
• Amy Cline
• Madeline Cohen, PC

• Optometrist in Candler, NC
• Providers in Candler, 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 8, 2017; 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.