NPIMap

Organization Active NPI

Mountain Eye Associates PLLC

Doing business as Mountain Eye Associates

  • Eyewear Supplier
  • Canton, NC
National Provider Identifier
1609177435
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MOUNTAIN EYE ASSOCIATES PLLC
Doing business as
Mountain Eye Associates
Practice address
65 Park St
Canton, NC 28716-4323
Phone
(825) 648-2483
Fax
(828) 648-4689
NPI assigned
Nov 10, 2010
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN EYE ASSOCIATES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Mr. David MarkoffNPI 1750376240
Title
Owner
Phone
(828) 452-5816

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

65 Park St
Canton, NC 28716-4323

Mailing address

486 Hospital Dr
Clyde, NC 28721-8026
Phone (828) 452-5816

Other identifiers 2

IdentifierTypeStateIssuer
890256VMedicaidNC
0256VOtherNCBCBS

Other names 1

  • MOUNTAIN EYE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory
Part of
Mountain Eye Associates

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1609177435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-452-5816",
            "fax_number": "828-452-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARK ST",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164323",
            "telephone_number": "825-648-2483",
            "fax_number": "828-648-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN EYE ASSOCIATES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN EYE ASSOCIATES PLLC",
        "enumeration_date": "2010-11-10",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "MARKOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-452-5816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890256V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0256V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.