Organization Active NPI

The Center for Sight, PLLC

  • Ophthalmology Physician
  • Winston Salem, NC
National Provider Identifier
1770721565
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33196 Issued in NC
Legal business name
THE CENTER FOR SIGHT, PLLC
Practice address
4964 University Pkwy Ste 105
Winston Salem, NC 27106-2800
Phone
(336) 744-5550
Fax
(336) 744-5554
NPI assigned
Feb 2, 2009
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Andrea Marie Scalisegordy, D.O.
Title
Ophthalmologist
Phone
(336) 744-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 33196 NC Primary

Addresses

Primary practice location

4964 University Pkwy Ste 105
Winston Salem, NC 27106-2800

Mailing address

4964 University Pkwy Ste 105
Winston Salem, NC 27106-2800
Phone (336) 744-5550

Other identifiers 1

IdentifierTypeStateIssuer
2401146MedicaidNC

National Provider Directory

National Provider Directory

Locations

4964 University Pkwy
Ste 105
Winston Salem, NC 27106
Phone (336) 744-5550

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1770721565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 UNIVERSITY PKWY STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062800",
            "telephone_number": "336-744-5550",
            "fax_number": "336-744-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4964 UNIVERSITY PKWY STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062800",
            "telephone_number": "336-744-5550",
            "fax_number": "336-744-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SIGHT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SCALISEGORDY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "336-744-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "33196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.