Organization Active NPI

Insight Optometric Services PA

  • Optometrist
  • Jacksonville, NC
National Provider Identifier
1770624249
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1505 Issued in NC
Legal business name
INSIGHT OPTOMETRIC SERVICES PA
Practice address
344 Jacksonville Mall
Jacksonville, NC 28546-7350
Phone
(910) 353-0909
Fax
(910) 355-6949
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Patrick Austin Patterson, O.D.NPI 1306891015
Title
Owner
Phone
(252) 838-8822

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1505 NC Primary

Addresses

Primary practice location

344 Jacksonville Mall
Jacksonville, NC 28546-7350

Mailing address

300 Campen Rd Ste a
Beaufort, NC 28516-1500
Phone (910) 353-0909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000805 NC Part B Supplier - Clinic/Group Practice 3173607934 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaufort, NC; Morehead City, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

300 Campen Rd
Ste A
Beaufort, NC 28516
Phone (252) 838-8822

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1770624249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAMPEN RD STE A",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161500",
            "telephone_number": "910-353-0909",
            "fax_number": "910-355-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 JACKSONVILLE MALL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467350",
            "telephone_number": "910-353-0909",
            "fax_number": "910-355-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT OPTOMETRIC SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-838-8822",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.