Organization Active NPI

Central Carolina Optometry, P.a.

  • Optometrist
  • Sanford, NC
National Provider Identifier
1578042388
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1367 Issued in NC
Legal business name
CENTRAL CAROLINA OPTOMETRY, P.A.
Practice address
3310 Hwy 87
Sanford, NC 27332
Phone
(197) 743-3100
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Dr. Katherine H Johnson, OD
Title
Dr
Phone
(919) 417-2957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1367 NC Primary

Addresses

Primary practice location

3310 Hwy 87
Sanford, NC 27332

Mailing address

5149 Linksland Dr
Holly Springs, NC 27540-9155
Phone (919) 557-0957

National Provider Directory

National Provider Directory

Locations

670 Lillington Hwy
Spring Lake, NC 28390
Phone (910) 436-3103

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1578042388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 LINKSLAND DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409155",
            "telephone_number": "919-557-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 HWY 87",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27332",
            "telephone_number": "197-743-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "919-417-2957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.