Dare Vision Center O.D. P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

940 Issued in NC

Legal business name

DARE VISION CENTER O.D. P.A.

Practice address

1004 S Croatan Hwy
Kill Devil Hills, NC 27948-8919

Phone

(252) 441-4872

Fax

(252) 441-7812

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Jeptha Adams, O.D.

Title

Optometrist/Owner

Phone

(252) 441-4872

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1497905012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1916",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279481916",
            "telephone_number": "252-441-4872",
            "fax_number": "252-441-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488919",
            "telephone_number": "252-441-4872",
            "fax_number": "252-441-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE VISION CENTER O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEPTHA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "252-441-4872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Morton Creef, LPCA
• Madison Ray Crumpler
• Christine Damrose-Mahlmann, NCLCMHC, VALPC, NCC
• Kaitlyn Daniels, MA
• Dare County Administrative Offices
• Shelley Ann Davis, NC LMBT
• Pam Derolf, R.T.
• Amanda Destefano, BT
• Carol A. Dodson, N.P.
• Steven M Doering, D.M.D.

• Optometrist in Kill Devil Hills, NC
• Providers in Kill Devil Hills, 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 30, 2008; 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.