Northside Family Eye Care Optometry, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHSIDE FAMILY EYE CARE OPTOMETRY, PA

Practice address

5811 Ramsey St
Fayetteville, NC 28311-3416

Phone

(910) 884-9922

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Christi Hardison

Title

Credentialing

Phone

(910) 574-8420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Ballard, O.D.

  • Optometrist
  • Fayetteville, NC
  • NPI 1013314608
  Medicare reassignment Care Compare group NPD
• Joseph Marshall Ballard, O.D.

  • Optometrist
  • Fayetteville, NC
  • NPI 1114339355
  Medicare reassignment Care Compare group NPD
• Thomas R Miller Jr., OD

  • Optometrist
  • Wake Forest, NC
  • NPI 1982786216
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1730804337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 GILES RD",
            "city": "LINDEN",
            "state": "NC",
            "postal_code": "283569343",
            "telephone_number": "910-884-9922",
            "fax_number": "910-401-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113416",
            "telephone_number": "910-884-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE FAMILY EYE CARE OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "910-574-8420"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina Physicians Eyecare Group, P.C.
• North Carolina Psych Services PLLC
• North Fourth Counseling and Psycological Services Group, PLLC
• Northland Hearing Center, Inc.
• Madison Northrop
• Northside Primary & Urgent Care
• Northside Urgent Care, Inc.
• Northwood Medical Center, P.a.
• Edgar Curtis Norwood I, LCSW
• Sierra Norwood

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.