Organization Active NPI

Triangle Family Eye Care OD, PLLC

  • Optometrist
  • Morrisville, NC
National Provider Identifier
1669770566
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1964 Issued in NC
Legal business name
TRIANGLE FAMILY EYE CARE OD, PLLC
Practice address
1200 Village Market Place
Morrisville, NC 27560-9394
Phone
(919) 830-6385
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Hiten P Prajapati, O.D.NPI 1902007131
Title
Optometrist/Owner
Phone
(919) 830-6385

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1964 NC Primary

Addresses

Primary practice location

1200 Village Market Place
Morrisville, NC 27560-9394

Mailing address

108 Juliet Cir
Cary, NC 27513-2863

Other identifiers 1

IdentifierTypeStateIssuer
5910639MedicaidNC

Other names 1

  • Triangle Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110418000493 NC Part B Supplier - Clinic/Group Practice 5395929236 Receives reassigned benefits from 1 practitioner
Practice locations: Morrisville, NC

National Provider Directory

National Provider Directory

Locations

1200 Village Market Pl
Morrisville, NC 27560
Phone (919) 830-6385

1216 Village Market Pl
Morrisville, NC 27560
Phone (919) 459-5995

Practitioners & affiliated clinicians

Practitioners 2

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1669770566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 JULIET CIR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VILLAGE MARKET PLACE",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609394",
            "telephone_number": "919-830-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE FAMILY EYE CARE OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "PRAJAPATI",
        "authorized_official_first_name": "HITEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "919-830-6385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910639",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.