Organization Active NPI

Anson Family Optometric, P.L.L.C.

  • Optometrist
  • Wadesboro, NC
National Provider Identifier
1710111281
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2029 Issued in NC
Legal business name
ANSON FAMILY OPTOMETRIC, P.L.L.C.
Practice address
1134 Holly St
Wadesboro, NC 28170-2452
Phone
(704) 694-3618
Fax
(704) 694-6446
NPI assigned
May 12, 2009
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Holly Allison Kiker, O.D.NPI 1992866941
Title
Optometrist/Owner
Phone
(704) 694-3618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2029 NC Primary

Addresses

Primary practice location

1134 Holly St
Wadesboro, NC 28170-2452

Mailing address

1134 Holly St
Wadesboro, NC 28170-2452
Phone (704) 694-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090602000696 NC Part B Supplier - Clinic/Group Practice 3072663616 Receives reassigned benefits from 1 practitioner
Practice locations: Wadesboro, NC

National Provider Directory

National Provider Directory

Locations

1134 Holly St
Wadesboro, NC 28170
Phone (704) 694-3618

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1710111281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 HOLLY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702452",
            "telephone_number": "704-694-3618",
            "fax_number": "704-694-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 HOLLY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702452",
            "telephone_number": "704-694-3618",
            "fax_number": "704-694-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSON FAMILY OPTOMETRIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "KIKER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "704-694-3618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.