Organization Active NPI

Raleigh Skin Surgery Center

Doing business as Vision Dermatology

  • Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1780261669
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RALEIGH SKIN SURGERY CENTER
Doing business as
Vision Dermatology
Practice address
3200 Blue Ridge Rd Ste 118
Raleigh, NC 27612-8087
Phone
(919) 439-1901
Fax
(919) 439-1906
NPI assigned
Mar 26, 2021
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RALEIGH SKIN SURGERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Dr. Tamara S Housman, MDNPI 1952492548
Title
Medical Director
Phone
(919) 390-0210

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
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 118
Raleigh, NC 27612-8087

Mailing address

3200 Blue Ridge Rd Ste 118
Raleigh, NC 27612-8087
Phone (919) 439-1901

Other identifiers 1

IdentifierTypeStateIssuer
020HYOtherBCBSNC PPN

Other names 1

  • Vision Dermatology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.visiondermatology.com Other Raleigh Skin Surgery Center

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2253244Vision Dermatology3200 Blue Ridge Road Suite 118, Raleigh, NC 27612Provider-performed microscopyFeb 17, 2028

National Provider Directory

National Provider Directory
Part of
Raleigh Skin Surgery Center

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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1780261669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-439-1901",
            "fax_number": "919-439-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-439-1901",
            "fax_number": "919-439-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH SKIN SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RALEIGH SKIN SURGERY CENTER",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "HOUSMAN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-390-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PPN",
            "identifier": "020HY",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.visiondermatology.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Raleigh Skin Surgery Center",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website with redirect to EHR patient portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web",
            "address_1": "3811 Ed Dr.",
            "address_2": "110",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276128106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vision Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.