Idealeyes, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IDEALEYES, O.D., PLLC

Practice address

2596 Reynolda Rd Ste a
Winston Salem, NC 27106-4651

Phone

(336) 777-1722

Fax

(336) 725-6954

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Harp McAllister, ODNPI 1225344146

Title

Owner/Optometrist

Phone

(336) 777-1722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Lisa Harp McAllister, O.D.

  • Optometrist
  • Winston Salem, NC
  • NPI 1225344146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1609400381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 REYNOLDA RD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064651",
            "telephone_number": "336-777-1722",
            "fax_number": "336-725-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 REYNOLDA RD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064651",
            "telephone_number": "336-777-1722",
            "fax_number": "336-725-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEALEYES, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HARP",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "336-777-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwafikunayomi Ibironke, MD
• Ruth A Ibrahim
• Terry A Icard, PA-C
• Iclinic, PA
• Patrick Sal Ide, MA, LPCA
• Idealpressingdezigns
• Idm Solutions
• Janet Lenora Idol, FNP-C
• Oreoluwa Idowu
• Itohan Igbinigie, MA, CCC-SLP

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.