Allen Hill Bandy Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1220 Issued in NC

Practice address

21 S Main Ave
Newton, NC 28658-3318

Phone

(828) 464-0604

Fax

(828) 464-0982

NPI assigned

Oct 3, 2006

Last updated

Feb 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen H Bandy Jr

  dba Lifetime Eyecare

  • Optometrist
  • Newton, NC
  • NPI 1346313681
  NPD (past) Authorized official
• Lifetime Eyecare Optometry, P.a.

  • Optometrist
  • Newton, NC
  • NPI 1215186895
  Authorized official Same address or phone
• Vision Center of Lake Norman OD PA

  • Optometrist
  • Mooresville, NC
  • NPI 1932522406
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1689768517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "address_2": "21 SOUTH MAIN AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286580025",
            "telephone_number": "828-464-0604",
            "fax_number": "828-464-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S MAIN AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583318",
            "telephone_number": "828-464-0604",
            "fax_number": "828-464-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "ALLEN",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909091",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP # (1 DR)",
            "identifier": "09091",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09056",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909056",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROV #",
            "identifier": "E3075",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.