NPIMap

Organization Active NPI

Carolina'S Professional Eyecare Associates, OD, PA

  • Optometrist
  • Concord, NC
National Provider Identifier
1780864645
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1842 Issued in NC
Legal business name
CAROLINA'S PROFESSIONAL EYECARE ASSOCIATES, OD, PA
Practice address
280 Concord Pkwy S
Suite 110-C
Concord, NC 28027-6730
Phone
(704) 788-1975
Fax
(704) 788-1976
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Sylvia Maria Hernandez, O. D.NPI 1134185986
Title
President
Phone
(704) 788-1975

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 NC1842 NC Primary

Addresses

Primary practice location

280 Concord Pkwy S
Suite 110-C
Concord, NC 28027-6730

Mailing address

280 Concord Pkwy S
Suite 110-C
Concord, NC 28027-6730
Phone (704) 788-1975

Other identifiers 1

IdentifierTypeStateIssuer
5901648MedicaidNC

Other names 1

  • Dr. Sylvia Hernandez Other name

National Provider Directory

National Provider Directory

Locations

1001 E Wt Harris Blvd
#P316
Charlotte, NC 28213

280 Concord Pkwy S
Ste 110C
Concord, NC 28027
Phone (704) 788-1975

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1780864645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CONCORD PKWY S",
            "address_2": "SUITE 110-C",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276730",
            "telephone_number": "704-788-1975",
            "fax_number": "704-788-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CONCORD PKWY S",
            "address_2": "SUITE 110-C",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276730",
            "telephone_number": "704-788-1975",
            "fax_number": "704-788-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S PROFESSIONAL EYECARE ASSOCIATES, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-788-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901648",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Sylvia Hernandez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.