Carolina Vision Care Dr. Thomas C. McIntosh OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1195 Issued in NC

Legal business name

CAROLINA VISION CARE DR. THOMAS C. MCINTOSH OD PA

Practice address

1804 W Arlington Blvd
Greenville, NC 27834-5704

Phone

(252) 752-4380

Fax

(252) 757-0419

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melonie McIntosh

Title

Office Manager

Phone

(252) 752-4380

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Carolina Vison Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carolina Vision Care DRS. McIntosh & Associates OD PA

  • Optometrist
  • Winterville, NC
  • NPI 1841837085
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lady Britton Aycock, O. D.

  • Optometrist
  • Greenville, NC
  • NPI 1639144462
  Medicare reassignment Care Compare group NPD
• Scott J McIntosh, OD

  • Optometrist
  • Greenville, NC
  • NPI 1346795119
  Medicare reassignment Care Compare group NPD
• Thomas C McIntosh, O.D.

  • Optometrist
  • Greenville, NC
  • NPI 1750352688
  Medicare reassignment Care Compare group NPD
• Natalie Brown McIntosh, OD

  • Optometrist
  • Greenville, NC
  • NPI 1912452780
  Medicare reassignment NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1679675581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-4380",
            "fax_number": "252-757-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-4380",
            "fax_number": "252-757-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VISION CARE DR. THOMAS C. MCINTOSH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-752-4380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1195",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "1195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011H7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410017944",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "011H7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Vison Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracy Carpenter-Aeby

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.