Organization Active NPI

Jicha Vision Optometry PLLC

  • Optometrist
  • Asheboro, NC
National Provider Identifier
1629677638
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JICHA VISION OPTOMETRY PLLC
Practice address
1226 E Dixie Dr
Asheboro, NC 27203-8856
Phone
(336) 626-2458
Fax
(336) 625-4982
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dianna Popa JichaNPI 1619951035
Title
Office Manager
Phone
(336) 688-5604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1226 E Dixie Dr
Asheboro, NC 27203-8856

Mailing address

2607 Burch PT
High Point, NC 27265-9333
Phone (336) 688-5604

National Provider Directory

National Provider Directory

Locations

1226 E Dixie Dr
#700
Asheboro, NC 27203
Phone (336) 626-2458

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1629677638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BURCH PT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659333",
            "telephone_number": "336-688-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 E DIXIE DR",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038856",
            "telephone_number": "336-626-2458",
            "fax_number": "336-625-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JICHA VISION OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "JICHA",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "POPA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-688-5604"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.