Organization Active NPI

Eyeoptix OD PA

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1740471408
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEOPTIX OD PA
Practice address
15640 John J Delaney Dr
Charlotte, NC 28277-3176
Phone
(704) 943-5110
Fax
(704) 943-4449
NPI assigned
Aug 7, 2007
Last updated
Jul 11, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEOPTIX OD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Authorized official

Name
Cheryl Moore
Title
Insurance Administrator
Phone
(704) 714-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

15640 John J Delaney Dr
Charlotte, NC 28277-3176

Mailing address

1960 Randolph Rd
Charlotte, NC 28207-1102
Phone (704) 372-5332

National Provider Directory

National Provider Directory
Part of
Eyeoptix OD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247270400000",
    "number": "1740471408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071102",
            "telephone_number": "704-372-5332",
            "fax_number": "704-714-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 JOHN J DELANEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773176",
            "telephone_number": "704-943-5110",
            "fax_number": "704-943-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEOPTIX OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEOPTIX OD PA",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-07-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-714-5338"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.