Nova Eye Care OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC1764 Issued in NC

Legal business name

NOVA EYE CARE OD PA

Practice address

328 N Fayetteville St Ste a
Asheboro, NC 27203-5594

Phone

(336) 625-2020

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James M Kernodle Jr., ODNPI 1154326528

Title

Owner/OD

Phone

(336) 625-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: nova@nova.eyeclinicdirect.net
• Direct secure messaging: lmazzarella@nova.eyeclinicdirect.net

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James M Kernodle Jr., OD PA

  • Optometrist
  • Asheboro, NC
  • NPI 1154326528
  Medicare reassignment NPD Authorized official
• Leslie Ann Mazzarella, OD

  • Optometrist
  • Asheboro, NC
  • NPI 1932288123
  Medicare reassignment NPD
• Lindsay Leigh Totten, O.D.

  • Optometrist
  • Thomasville, NC
  • NPI 1083044515
  Medicare reassignment NPD
• Cathy A Fulp, O.D.

  • Optometrist
  • Archdale, NC
  • NPI 1902803323
  NPD (past)
• Charles Rick Gilliam, O.D.

  • Optometrist
  • High Point, NC
  • NPI 1720083199
  NPD (past)
• William Neal Hutto, OD

  • Optometrist
  • High Point, NC
  • NPI 1821191669
  NPD (past)
• Timothy Gerrit Koop, O.D.

  • Optometrist
  • Greensboro, NC
  • NPI 1932250834
  NPD (past)
• Angela Marie Martinek, O.D.

  • Optometrist
  • Greensboro, NC
  • NPI 1215088125
  NPD (past)
• Jeffrey Strand, OD

  • Optometrist
  • Zebulon, NC
  • NPI 1063405447
  NPD (past)

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1609018019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N FAYETTEVILLE ST STE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035594",
            "telephone_number": "336-625-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N FAYETTEVILLE ST STE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035594",
            "telephone_number": "336-625-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EYE CARE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "KERNODLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "336-625-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011EN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reinaldo Nodal Jr., PAC
• Ronda Loftis Nordman, FNP
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• Northland Hearing Center, Inc.
• Novant Health Medical Group LLC
• Novant Health Medical Group, LLC
• Greta F O'Buch, PA-C
• Lisa Oliver O'Connell, M.A.CCC/SLP
• Andrea O'Neal

• Optometrist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.

Verify at the official NPI Registry.