Active NPI
Alan S Luria, MD
- Ophthalmology Physician
- Roanoke Rapids, NC
National Provider Identifier
1508959818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 24859
- Practice address
- 204 Becker Dr.
Roanoke Rapids, NC 27870 - Phone
- (252) 537-8193
- Fax
- (252) 537-0589
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24859 | NC | Primary |
Addresses
Primary practice location
204 Becker Dr.
Roanoke Rapids, NC 27870
Mailing address
204 Becker Dr.
Roanoke Rapids, NC 27870
Phone (252) 537-8193
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53264 | Other | BCBS | |
| 8953264 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24859 | NC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1508959818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 BECKER DR.",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "27870",
"telephone_number": "252-537-8193",
"fax_number": "252-537-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 BECKER DR.",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "27870",
"telephone_number": "252-537-8193",
"fax_number": "252-537-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LURIA",
"first_name": "ALAN",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "24859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53264",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8953264",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.