Tunnel Road Optometry Group OD PA

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

TUNNEL ROAD OPTOMETRY GROUP OD PA

Practice address

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Phone

(336) 765-5350

Fax

(336) 765-0769

NPI assigned

Feb 20, 2017

Organization subpart

Yes

Parent organization

TUNNEL ROAD OPTOMETRY GROUP OD PAAs reported in NPPES

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

Authorized official

Name

Roger G. Davis, OD

Title

President

Phone

(336) 909-0160

Specialties & licenses 1

Addresses

Other names 1

• Davis Eye Kernersville Doing business as

Part of

Tunnel Road Optometry Group

Locations

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1679012918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848186",
            "telephone_number": "336-993-0566",
            "fax_number": "336-993-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNNEL ROAD OPTOMETRY GROUP OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUNNEL ROAD OPTOMETRY GROUP OD PA",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-909-0160",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Eye Kernersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David John Tudhope, PT, DPT
• Cherry Cooper Tull
• Allison Griffin Tullos, PHARMD
• Katherine A Tully, PT
• Tunnel Road Optometry Group
• Megan Wheeler Tunnell, PHARMD
• James Haney Tunstall IV
• Christopher John Tuohy, MD
• Jovan Turnage
• Turner Life Chiropractic Clinic

• Corneal and Contact Management Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Corneal and Contact Management Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.