NPIMap

Organization Active NPI

Dobson Optometric Eyecare, PA

  • Optometrist
  • Dobson, NC
National Provider Identifier
1710131685
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1136 Issued in NC
Legal business name
DOBSON OPTOMETRIC EYECARE, PA
Practice address
220 S. Main Street
Dobson Optometric Eyecare
Dobson, NC 27017
Phone
(336) 386-8526
Fax
(336) 386-4180
NPI assigned
Nov 5, 2008
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Dr. Terence Michael Warren, O.D.NPI 1427016831
Title
Owner
Phone
(336) 386-8526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1136 NC
Optometrist 152W00000X NC1136 NC Primary

Addresses

Primary practice location

220 S. Main Street
Dobson Optometric Eyecare
Dobson, NC 27017

Mailing address

P.O. Box 247
Dobson Optometric Eyecare
Dobson, NC 27017
Phone (336) 386-8526

Other identifiers 3

IdentifierTypeStateIssuer
1427016831MedicaidNC
8909953MedicaidNC
1427016831OtherNCBCBS

Other names 1

  • Dr. Terence M. Warren, O.D. Other name

National Provider Directory

National Provider Directory

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1710131685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 247",
            "address_2": "DOBSON OPTOMETRIC EYECARE",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-386-8526",
            "fax_number": "336-386-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S. MAIN STREET",
            "address_2": "DOBSON OPTOMETRIC EYECARE",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-386-8526",
            "fax_number": "336-386-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBSON OPTOMETRIC EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-386-8526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1136",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427016831",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909953",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1427016831",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Terence M. Warren, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dobson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.