NPIMap

Organization Active NPI

Greensboro Optometric, PA

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1609135144
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1778 Issued in NC
Legal business name
GREENSBORO OPTOMETRIC, PA
Practice address
226 S Elm St
Greensboro, NC 27401-2692
Phone
(336) 722-5346
Fax
(336) 722-5348
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Mr. Calvin Presnell
Title
Manager
Phone
(336) 722-5346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1778 NC Primary

Addresses

Primary practice location

226 S Elm St
Greensboro, NC 27401-2692

Mailing address

226 S Elm St
Greensboro, NC 27401-2692
Phone (336) 722-5346

Other names 1

  • Oscar Oglethorpe Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1609135144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012692",
            "telephone_number": "336-722-5346",
            "fax_number": "336-722-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012692",
            "telephone_number": "336-722-5346",
            "fax_number": "336-722-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO OPTOMETRIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-722-5346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oscar Oglethorpe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.