Active NPI
Duplin Eye Associates PA
- Optometrist
- Kenansville, NC
National Provider Identifier
1508845587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DUPLIN EYE ASSOCIATES PA
- Practice address
- 402 N Main St
Kenansville, NC 28349-8801 - Phone
- (910) 296-1781
- Fax
- (910) 296-1843
- NPI assigned
- Jan 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gail Stroud Terry
- Title
- Administrator
- Phone
- (910) 296-1781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
402 N Main St
Kenansville, NC 28349-8801
Mailing address
PO Box 486
Kenansville, NC 28349-0486
Phone (910) 296-1781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7909129 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- johnpa@duplineye.eyefinity-direct.com
- ericyopp@duplineye.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Kenansville, NC
- NPI 1174596472
-
- Optometrist
- Kenansville, NC
- NPI 1669452785
-
- Optometrist
- Concord, NC
- NPI 1750325478
-
- Optometrist
- Apex, NC
- NPI 1326097601
-
- Optometrist
- Goldsboro, NC
- NPI 1528247327
-
- Optometrist
- Dallas, NC
- NPI 1558305276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1508845587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283490486",
"telephone_number": "910-296-1781",
"fax_number": "910-296-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N MAIN ST",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283498801",
"telephone_number": "910-296-1781",
"fax_number": "910-296-1843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPLIN EYE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "STROUD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-296-1781",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7909129",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenansville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.