Active NPI
W. Alex Appanaitis, O.D., P.a.
Doing business as Forsyth Family Eye Care
- Optometrist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1655
- Legal business name
- W. ALEX APPANAITIS, O.D., P.A.
- Doing business as
- Forsyth Family Eye Care
- Practice address
- 5305 Robinhood Village Dr
Winston Salem, NC 27106-9820 - Phone
- (336) 924-9121
- Fax
- (336) 924-6215
- NPI assigned
- Jan 14, 2008
- Last updated
- Jul 8, 2015
- 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
- Dr. Walter Alexander Appanaitis, O.D.
- Title
- Owner
- Phone
- (336) 924-9121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1655 | NC | Primary |
Addresses
Primary practice location
5305 Robinhood Village Dr
Winston Salem, NC 27106-9820
Mailing address
312 Sonata Dr
Lewisville, NC 27023-8301
Phone (336) 924-9121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950461 | Medicaid | NC | |
| 890914W | Medicaid | NC |
Other names 1
- Forsyth Family Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3800 Reynolda Rd
Ste 300
Winston Salem, NC 27106
Phone (336) 924-9121
5305 Robinhood Village Dr
Winston Salem, NC 27106
Phone (336) 924-9121
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Winston Salem, NC
- NPI 1144240557
-
- Optometrist
- Winston Salem, NC
- NPI 1215184858
-
- Optometrist
- Dobson, NC
- NPI 1386945699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436313600000",
"number": "1578749180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SONATA DR",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270238301",
"telephone_number": "336-924-9121",
"fax_number": "336-924-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 ROBINHOOD VILLAGE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271069820",
"telephone_number": "336-924-9121",
"fax_number": "336-924-6215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W. ALEX APPANAITIS, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-14",
"last_updated": "2015-07-08",
"status": "A",
"authorized_official_last_name": "APPANAITIS",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-924-9121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950461",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890914W",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forsyth Family Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.