Active NPI
C & S Optometric Services PLLC
- Eyewear Supplier
- New Bern, NC
National Provider Identifier
1710028519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- C & S OPTOMETRIC SERVICES PLLC
- Practice address
- 2805 Village Way
New Bern, NC 28562-7351 - Phone
- (252) 633-0016
- Fax
- (252) 636-3895
- NPI assigned
- Feb 12, 2007
- 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
- Dr. Shawn A Doty, O.D.
- Title
- Managing Co-Owner
- Phone
- (252) 633-0016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2805 Village Way
New Bern, NC 28562-7351
Mailing address
2805 Village Way
New Bern, NC 28562-7351
Phone (252) 633-0016
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890125B | Medicaid | NC | |
| 0125B | Other | NC | BCBS |
| VR 1266 | Other | NC | VOCATIONAL REHABILITATION |
| V1890 | Other | NC | BLIND COMMISSION |
Other names 1
- NEW BERN FAMILY EYE CARE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1710028519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 VILLAGE WAY",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627351",
"telephone_number": "252-633-0016",
"fax_number": "252-636-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 VILLAGE WAY",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627351",
"telephone_number": "252-633-0016",
"fax_number": "252-636-3895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & S OPTOMETRIC SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "DOTY",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING CO-OWNER",
"authorized_official_telephone_number": "252-633-0016",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890125B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0125B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VOCATIONAL REHABILITATION",
"identifier": "VR 1266",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLIND COMMISSION",
"identifier": "V1890",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW BERN FAMILY EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.