Individual provider Active NPI

Robert Grier Harding, OD

  • Optometrist
  • Goldsboro, NC
National Provider Identifier
1609860261
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1019 Issued in NC
Practice address
103 Cox Blvd
Goldsboro, NC 27534-9478
Phone
(919) 734-8440
Fax
(919) 734-9387
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1019 NC Primary

Addresses

Primary practice location

103 Cox Blvd
Goldsboro, NC 27534-9478

Mailing address

103 Cox Blvd
Goldsboro, NC 27534-9478
Phone (919) 734-8440

Other identifiers 2

IdentifierTypeStateIssuer
09298OtherNCBCBSNC
8909298MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1019NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waynesborough Ophthalmology, P.a. Optometrist PastSince Jun 8, 1996 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1609860261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "ROBERT",
        "middle_name": "GRIER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "09298",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909298",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.