Organization Active NPI

One Way Eye Care

Doing business as Eastway Eye Care

  • Optician
  • Charlotte, NC
National Provider Identifier
1700211968
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1336 Issued in NC
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8802016MedicaidNC

Other names 1

  • Eastway Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Charlotte, NC

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.

Verify at the official NPI Registry.