Organization Active NPI

Envision Eyecare OD PA

  • Optometrist
  • Asheville, NC
National Provider Identifier
1780716902
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1890 Issued in NC
Legal business name
ENVISION EYECARE OD PA
Practice address
180 Charlotte St
Asheville, NC 28801-1923
Phone
(828) 254-6757
Fax
(828) 254-6758
NPI assigned
Mar 12, 2007
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Larry Shane Golson, O.D.NPI 1437260403
Title
Owner
Phone
(828) 254-6757

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 1890 NC Primary

Addresses

Primary practice location

180 Charlotte St
Asheville, NC 28801-1923

Mailing address

180 Charlotte St
Asheville, NC 28801-1923
Phone (828) 254-6757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000051 NC Part B Supplier - Clinic/Group Practice 9931279312 Receives reassigned benefits from 7 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

125 E Chestnut St
#1
Asheville, NC 28801

180 Charlotte St
Asheville, NC 28801
Phone (828) 254-6757

181 Charlotte St
Asheville, NC 28801
Phone (828) 254-6757

Practitioners & affiliated clinicians

Practitioners 7

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1780716902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CHARLOTTE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011923",
            "telephone_number": "828-254-6757",
            "fax_number": "828-254-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CHARLOTTE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011923",
            "telephone_number": "828-254-6757",
            "fax_number": "828-254-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "GOLSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-254-6757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.