Oliver Optometric Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

2461 Issued in NC

Legal business name

OLIVER OPTOMETRIC EYE CARE

Practice address

18 Grayson St
Sparta, NC 28675-6006

Phone

(336) 372-4493

Fax

(336) 372-2035

NPI assigned

Oct 10, 2016

Last updated

Jan 17, 2017By 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

Logan J Oliver, ODNPI 1467907063

Title

Optometrist

Phone

(336) 372-4493

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Logan Oliver, OD

  • Optometrist
  • Sparta, NC
  • NPI 1467907063
  Medicare reassignment Care Compare group NPD Authorized official
• Kala Brown Brewer, O.D.

  • Optometrist
  • Elkin, NC
  • NPI 1699116723
  Medicare reassignment Care Compare group NPD
• Dexter Wayne Street, O.D.

  • Optometrist
  • Mount Airy, NC
  • NPI 1962464156
  Medicare reassignment Care Compare group NPD
• Janet Lee Perkins, O.D.

  • Optometrist
  • Elkin, NC
  • NPI 1851396782
  Medicare reassignment NPD
• Meghan Norris, PHARM D

  • Pharmacist
  • Boone, NC
  • NPI 1821392242
  NPD
• Lawrence D. Schonhofen, O.D.

  • Optometrist
  • Elkin, NC
  • NPI 1598713224
  NPD (past)
• Katherine Lynn Henning, OD

  • Optometrist
  • Galax, VA
  • NPI 1124095708
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1629528104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286751119",
            "telephone_number": "336-372-4493",
            "fax_number": "336-372-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GRAYSON ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286756006",
            "telephone_number": "336-372-4493",
            "fax_number": "336-372-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER OPTOMETRIC EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "336-372-4493",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New River Cottage, Inc.
• New River Family Medicine
• New River Mental Health Center (New River Behavioral HealthCare)
• New River Service Authority
• Northland Hearing Center, Inc. (Best Value Hearing Center Sparta)
• Logan Oliver, OD
• Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)
• Parkwood Eye Center, P.a.
• Ashley Jordan Parlier, LCMHC,LPC
• Pathway Therapy Services, P.a.

• Optometrist in Sparta, NC
• Providers in Sparta, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.