Active NPI
William C Padgett, OD
- Optometrist
- Washington, NC
National Provider Identifier
1720310477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0869
- Practice address
- 1302 Brown St
Washington, NC 27889-4672 - Phone
- (252) 946-7257
- Fax
- (252) 946-9497
- NPI assigned
- Feb 5, 2010
- Last updated
- Feb 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0869 | NC | Primary |
Addresses
Primary practice location
1302 Brown St
Washington, NC 27889-4672
Mailing address
1302 Brown St
Washington, NC 27889-4672
Phone (252) 946-7257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909684 | Medicaid | NC |
Other names 1
- Cam Padgett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 869 | NC | MD | Marriage & Family Therapist |
| 0869 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina PLLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1720310477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 BROWN ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894672",
"telephone_number": "252-946-7257",
"fax_number": "252-946-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 BROWN ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894672",
"telephone_number": "252-946-7257",
"fax_number": "252-946-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "WILLIAM",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909684",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAM",
"last_name": "PADGETT",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.