Organization Active NPI

Skeen Eye Care O.D.,PA

  • Optometrist
  • Cary, NC
National Provider Identifier
1649476524
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1202 Issued in NC
Legal business name
SKEEN EYE CARE O.D.,PA
Practice address
1105 Walnut St
Cary, NC 27511-4762
Phone
(919) 460-9074
Fax
(919) 460-6087
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. William McDuffy Skeen, OD
Title
Owner Doctor
Phone
(919) 460-9074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1202 NC Primary

Addresses

Primary practice location

1105 Walnut St
Cary, NC 27511-4762

Mailing address

1105 Walnut St
Cary, NC 27511-4762
Phone (919) 460-9074

Other identifiers 1

IdentifierTypeStateIssuer
89012WXMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1649476524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114762",
            "telephone_number": "919-460-9074",
            "fax_number": "919-460-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114762",
            "telephone_number": "919-460-9074",
            "fax_number": "919-460-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKEEN EYE CARE O.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "SKEEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MCDUFFY",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "919-460-9074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012WX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.