Foothills Eye Care, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2057 Issued in NC

Legal business name

FOOTHILLS EYE CARE, O.D., P.A.

Practice address

335 N Main St
Walnut Cove, NC 27052-9200

Phone

(336) 591-7428

Fax

(336) 591-5136

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Candice C Fix, O.D.

Title

VP, Secretary, Treasurer

Phone

(336) 985-2020

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1548530801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MOORE RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218703",
            "telephone_number": "336-985-2020",
            "fax_number": "336-985-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529200",
            "telephone_number": "336-591-7428",
            "fax_number": "336-591-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS EYE CARE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "336-985-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2057",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.