Active NPI
Washington Eye Clinic Optical
- Eyewear Supplier
- Washington, NC
National Provider Identifier
1619996196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WASHINGTON EYE CLINIC OPTICAL
- Practice address
- 639 W 15TH St
Washington, NC 27889-3526 - Phone
- (252) 946-2171
- Fax
- (252) 946-5986
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Jewell
- Title
- Office Manager
- Phone
- (252) 946-2171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
639 W 15TH St
Washington, NC 27889-3526
Mailing address
639 W 15TH St
Washington, NC 27889-3526
Phone (252) 946-2171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8802048 | Medicaid | NC | |
| 02876 | Other | NC | BLUE CROSS BLUE SHIELD NC |
National Provider Directory
National Provider DirectoryLocations
639 W 15th St
Washington, NC 27889
Phone (252) 946-2171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1619996196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 W 15TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893526",
"telephone_number": "252-946-2171",
"fax_number": "252-946-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 W 15TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893526",
"telephone_number": "252-946-2171",
"fax_number": "252-946-5986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON EYE CLINIC OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "252-946-2171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8802048",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "02876",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.