Eastern Eye Associates of Pitt-Greene, OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

0971 Issued in NC

Legal business name

EASTERN EYE ASSOCIATES OF PITT-GREENE, OD PA

Practice address

3681B N Main St
Farmville, NC 27828-1464

Phone

(252) 753-5567

Fax

(252) 753-5568

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George E. Schertzinger, OD

Title

President

Phone

(252) 753-5567

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors Vision Center of Farmville Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eastern Eye Associates of Pitt-Greene, OD PA

  • Optometrist
  • Snow Hill, NC
  • NPI 1649358052

  O20071113000712

  Same enrollment

Locations

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710053657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681B N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281464",
            "telephone_number": "252-753-5567",
            "fax_number": "252-753-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681B N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281464",
            "telephone_number": "252-753-5567",
            "fax_number": "252-753-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN EYE ASSOCIATES OF PITT-GREENE, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHERTZINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-753-5567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909799",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Vision Center of Farmville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angell Dawson
• Douglas David Degroote, DPT
• Felisha Dixon Daniels
• Michael Benjamin Dixon, DDS
• DRS. Warren & Hardee, P.a.
• Whitney Elvis, AGNP-C
• Family and Community Resources, Inc
• Farmville Discount Drug, Inc
• Farmville Discount Drug, Inc.
• Farmville Internal Medicine PA

• Optometrist in Farmville, NC
• Providers in Farmville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.