Active NPI
Skeen Eye Care O.D.,PA
- Optometrist
- Cary, NC
National Provider Identifier
1649476524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012WX | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.