Organization Active NPI

John Scibal Optometry PLLC

  • Optometrist
  • Washington, NC
National Provider Identifier
1669781779
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1125 Issued in NC
Legal business name
JOHN SCIBAL OPTOMETRY PLLC
Practice address
570 Pamlico PLZ
Washington, NC 27889-3337
Phone
(252) 948-2680
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
John Scibal
Title
Owner
Phone
(252) 349-4051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1125 NC Primary

Addresses

Primary practice location

570 Pamlico PLZ
Washington, NC 27889-3337

Mailing address

1102 Shepard St
Morehead City, NC 28557-4155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1669781779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SHEPARD ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 PAMLICO PLZ",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893337",
            "telephone_number": "252-948-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SCIBAL OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "SCIBAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-349-4051"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.