Leon Byrum Opticians Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

B0211 Issued in NC

Legal business name

LEON BYRUM OPTICIANS INC

Practice address

600 A Wade Ave
Raleigh, NC 27605-3121

Phone

(919) 832-3927

Fax

(919) 832-0538

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Allen Daughtridge, LICENSED OPTICIAN

Title

President

Phone

(919) 832-3927

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629287867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 A WADE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053121",
            "telephone_number": "919-832-3927",
            "fax_number": "919-832-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 A WADE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053121",
            "telephone_number": "919-832-3927",
            "fax_number": "919-832-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON BYRUM OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHTRIDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-832-3927",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "B0211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8801643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.