Active NPI
One Way Eye Care
Doing business as Eastway Eye Care
- Optician
- Charlotte, NC
National Provider Identifier
1700211968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1336
- Legal business name
- ONE WAY EYE CARE
- Doing business as
- Eastway Eye Care
- Practice address
- 3211 Eastway Dr
Suite 13
Charlotte, NC 28205-5670 - Phone
- (704) 568-6760
- Fax
- (704) 568-6792
- NPI assigned
- Sep 6, 2013
- Last updated
- Sep 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Grady Bowens
- Title
- Manager
- Phone
- (704) 568-6760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1336 | NC | Primary |
Addresses
Primary practice location
3211 Eastway Dr
Suite 13
Charlotte, NC 28205-5670
Mailing address
3211 Eastway Dr
Suite 13
Charlotte, NC 28205-5670
Phone (704) 568-6760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8802016 | Medicaid | NC |
Other names 1
- Eastway Eye Care
National Provider Directory
National Provider DirectoryLocations
3211 Eastway Dr
Ste 13
Charlotte, NC 28205
Phone (704) 568-6760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378425600000",
"number": "1700211968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 EASTWAY DR",
"address_2": "SUITE 13",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055670",
"telephone_number": "704-568-6760",
"fax_number": "704-568-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 EASTWAY DR",
"address_2": "SUITE 13",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055670",
"telephone_number": "704-568-6760",
"fax_number": "704-568-6792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE WAY EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-06",
"last_updated": "2013-09-06",
"status": "A",
"authorized_official_last_name": "BOWENS",
"authorized_official_first_name": "GRADY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "704-568-6760",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "1336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8802016",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastway Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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- One You
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- Dylan Jude Ong, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.