Waxhaw Family Vision Care OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1412 Issued in NC

Legal business name

WAXHAW FAMILY VISION CARE OD, PLLC

Practice address

3909 Providence Rd S
Suite H
Waxhaw, NC 28173-7480

Phone

(704) 843-3053

NPI assigned

Aug 3, 2006

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Cureton, ODNPI 1942201074

Title

Owner

Phone

(704) 843-3053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Robert McDow Cureton, OD

  • Optometrist
  • Fairmont, NC
  • NPI 1942201074
  Medicare reassignment NPD Authorized official
• Steven Michael Cress, OD

  • Optometrist
  • Pineville, NC
  • NPI 1700014750
  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1669480182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 PROVIDENCE RD S",
            "address_2": "SUITE H",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737480",
            "telephone_number": "704-843-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 PROVIDENCE RD S",
            "address_2": "SUITE H",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737480",
            "telephone_number": "704-843-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXHAW FAMILY VISION CARE OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "CURETON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-843-3053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conor Terrence Walsh, PT
• Parker Ward III, D.C.
• Shannon Ashleigh Ward
• Ashley Watje
• Katherine Watson
• Waxhaw Medical Wellness, PLLC
• Jessica Weathersbee, PA
• Amy Stanley Weaver, PT
• Frances C. Westlund, OTR/L
• Derek Whalen, PA-C

• Optometrist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.