Organization Active NPI

Carolina Eye Care of Lincoln County Optometry PLLC

  • Optometrist
  • Denver, NC
National Provider Identifier
1699863068
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAROLINA EYE CARE OF LINCOLN COUNTY OPTOMETRY PLLC
Practice address
623 N Highway 16
Denver, NC 28037-7574
Phone
(704) 483-2263
Fax
(704) 483-6136
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Dr. Brian Scott Nishek, ODNPI 1477534253
Title
Owner/Optometrist
Phone
(704) 735-7101

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 Primary

Addresses

Primary practice location

623 N Highway 16
Denver, NC 28037-7574

Mailing address

623 N Highway 16
Denver, NC 28037-7574
Phone (704) 483-2263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001090 NC Part B Supplier - Clinic/Group Practice 9436040391 Receives reassigned benefits from 6 practitioners
Practice locations: Denver, NC; Lincolnton, NC

National Provider Directory

National Provider Directory

Locations

623 N NC 16 Business Hwy
Denver, NC 28037

231 N Generals Blvd
Lincolnton, NC 28092
Phone (704) 735-7101

Interoperability endpoints

  • Direct secure messaging: drhamidiani@carolinaeyecareden.eyefinity-direct.com
  • Direct secure messaging: bnishek@carolinaeyecareden.eyefinity-direct.com
  • Direct secure messaging: strego@carolinaeyecareden.eyefinity-direct.com
  • Direct secure messaging: drmotteler@carolinaeyecareden.eyefinity-direct.com
  • Direct secure messaging: drwatt@carolinaeyecareden.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 6

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1699863068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377574",
            "telephone_number": "704-483-2263",
            "fax_number": "704-483-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377574",
            "telephone_number": "704-483-2263",
            "fax_number": "704-483-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE CARE OF LINCOLN COUNTY OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "NISHEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "704-735-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.