Organization Active NPI

Family Eye Care Center PA

  • Optometrist
  • Boone, NC
National Provider Identifier
1780805804
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1300 Issued in NC
Legal business name
FAMILY EYE CARE CENTER PA
Practice address
717 Greenway Road
Suite C
Boone, NC 28607-4991
Phone
(828) 265-2020
Fax
(828) 264-2257
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. Jeffrey Richard Sutton, O.D.
Title
President
Phone
(828) 265-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1300 NC Primary

Addresses

Primary practice location

717 Greenway Road
Suite C
Boone, NC 28607-4991

Mailing address

717 Greenway Road
Suite C
Boone, NC 28607-4991
Phone (828) 265-2020

Other identifiers 2

IdentifierTypeStateIssuer
152W00000XOtherNCTAXONOMY
8909826MedicaidNC

Other names 1

  • Family Eye Care Center PA Doing business as

National Provider Directory

National Provider Directory

Locations

188 E King St
Boone, NC 28607
Phone (828) 265-2020

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1780805804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREENWAY ROAD",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074991",
            "telephone_number": "828-265-2020",
            "fax_number": "828-264-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GREENWAY ROAD",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074991",
            "telephone_number": "828-265-2020",
            "fax_number": "828-264-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-265-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "152W00000X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909826",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care Center PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.