Organization Active NPI

Carolina Optometric of Arden PA

  • Optometrist
  • Arden, NC
National Provider Identifier
1508029539
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1243 Issued in NC
Legal business name
CAROLINA OPTOMETRIC OF ARDEN PA
Practice address
2145 Hendersonville Rd
Suite D
Arden, NC 28704-9723
Phone
(828) 681-8000
Fax
(828) 681-0990
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Ms. Kimberley A Mosier
Title
Business Manager
Phone
(828) 681-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1243 NC Primary

Addresses

Primary practice location

2145 Hendersonville Rd
Suite D
Arden, NC 28704-9723

Mailing address

2145 Hendersonville Rd
Suite D
Arden, NC 28704-9723
Phone (828) 681-8000

Other identifiers 2

IdentifierTypeStateIssuer
4306620001OtherNCDMERC
2333100OtherNCMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1508029539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 HENDERSONVILLE RD",
            "address_2": "SUITE D",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049723",
            "telephone_number": "828-681-8000",
            "fax_number": "828-681-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 HENDERSONVILLE RD",
            "address_2": "SUITE D",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049723",
            "telephone_number": "828-681-8000",
            "fax_number": "828-681-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OPTOMETRIC OF ARDEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "828-681-8000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4306620001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2333100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.