NPIMap

Organization Active NPI

Ammons Perry Optometric, PLLC

  • Optometrist
  • Arden, NC
National Provider Identifier
1659669281
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2164 Issued in NC
Legal business name
AMMONS PERRY OPTOMETRIC, PLLC
Practice address
140 Airport Rd
Suite L
Arden, NC 28704
Phone
(828) 687-7500
Fax
(828) 687-7500
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Haley Ammons Perry, O.D.NPI 1629302005
Title
Owner/Operator
Phone
(828) 628-6700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2164 NC Primary
Eyewear Supplier 332H00000X 2164 NC

Addresses

Primary practice location

140 Airport Rd
Suite L
Arden, NC 28704

Mailing address

140 Airport Rd
Suite L
Arden, NC 28704
Phone (828) 687-7500

Other identifiers 1

IdentifierTypeStateIssuer
5918512MedicaidNC

Other names 1

  • Visual Eyes Optometric Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000137 NC Part B Supplier - Clinic/Group Practice 9537331715 Receives reassigned benefits from 3 practitioners
Practice locations: Arden, NC

National Provider Directory

National Provider Directory

Locations

140 Airport Rd
Ste B
Arden, NC 28704
Phone (828) 628-6700

140 Airport Rd
Ste L
Arden, NC 28704
Phone (828) 687-7500

1509 Charlotte Hwy
Fairview, NC 28730
Phone (828) 628-6700

Practitioners & affiliated clinicians

Practitioners 6

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1659669281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AIRPORT RD",
            "address_2": "SUITE L",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "28704",
            "telephone_number": "828-687-7500",
            "fax_number": "828-687-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AIRPORT RD",
            "address_2": "SUITE L",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "28704",
            "telephone_number": "828-687-7500",
            "fax_number": "828-687-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMONS PERRY OPTOMETRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "AMMONS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "828-628-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2164",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "2164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918512",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visual Eyes Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.