NPIMap

Organization Active NPI

Eyewear Unlimited Optical Shop

  • Eyewear Supplier
  • Winston Salem, NC
National Provider Identifier
1649394891
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
21915 Issued in NC
Legal business name
EYEWEAR UNLIMITED OPTICAL SHOP
Practice address
224 Town Run LN
Winston Salem, NC 27101-3911
Phone
(336) 723-0748
Fax
(336) 721-4711
NPI assigned
Mar 16, 2007
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
James David Branch, MDNPI 1538147061
Title
Owner
Phone
(336) 723-0748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 21915 NC Primary

Addresses

Primary practice location

224 Town Run LN
Winston Salem, NC 27101-3911

Mailing address

224 Town Run LN
Winston Salem, NC 27101-3911
Phone (336) 723-0748

Other identifiers 1

IdentifierTypeStateIssuer
8801843MedicaidNC

National Provider Directory

National Provider Directory

Locations

224 Town Run Ln
Winston Salem, NC 27101
Phone (336) 723-0748

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1649394891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TOWN RUN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013911",
            "telephone_number": "336-723-0748",
            "fax_number": "336-721-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TOWN RUN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013911",
            "telephone_number": "336-723-0748",
            "fax_number": "336-721-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR UNLIMITED OPTICAL SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-723-0748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "21915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8801843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.