Organization Active NPI

Envolve Vision, Inc.

  • Point of Service
  • Rocky Mount, NC
National Provider Identifier
1700283405
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
ENVOLVE VISION, INC.
Practice address
112 Zebulon Court
Rocky Mount, NC 27804-2420
Phone
(800) 334-3937
Fax
(888) 986-2823
NPI assigned
Nov 24, 2014
Organization subpart
Yes
Parent organization
CENCORP HEALTH SOLUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. David Michael Lavely, O.D.
Title
President & Ceo
Phone
(252) 544-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

112 Zebulon Court
Rocky Mount, NC 27804-2420

Mailing address

112 Zebulon Court
Rocky Mount, NC 27804-2420
Phone (800) 334-3937

Other names 1

  • OptiCare Vision Company, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1700283405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "800-334-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "800-334-3937",
            "fax_number": "888-986-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVOLVE VISION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENCORP HEALTH SOLUTIONS, INC.",
        "enumeration_date": "2014-11-24",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "LAVELY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "252-544-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptiCare Vision Company, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.