Active NPI
Eye Tech LLC
- Eyewear Supplier
- Wilmington, NC
National Provider Identifier
1780897017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 1673
- Legal business name
- EYE TECH LLC
- Practice address
- 1119 Military Cutoff Rd
Suite D
Wilmington, NC 28405-3661 - Phone
- (910) 509-0291
- Fax
- (910) 509-0293
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roxanne Mills Armstrong, LDO
- Title
- Owner Manager
- Phone
- (910) 509-0291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 1673 | NC | Primary |
Addresses
Primary practice location
1119 Military Cutoff Rd
Suite D
Wilmington, NC 28405-3661
Mailing address
1119 Military Cutoff Rd
Suite D
Wilmington, NC 28405-3661
Phone (910) 509-0291
Other names 1
- Eyetech Optical Boutique
National Provider Directory
National Provider DirectoryLocations
1119 Military Cutoff Rd
Ste D
Wilmington, NC 28405
Phone (910) 509-0291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780897017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 MILITARY CUTOFF RD",
"address_2": "SUITE D",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053661",
"telephone_number": "910-509-0291",
"fax_number": "910-509-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 MILITARY CUTOFF RD",
"address_2": "SUITE D",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053661",
"telephone_number": "910-509-0291",
"fax_number": "910-509-0293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE TECH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARMSTRONG",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "MILLS",
"authorized_official_title_or_position": "OWNER MANAGER",
"authorized_official_telephone_number": "910-509-0291",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NC",
"license": "1673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyetech Optical Boutique",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.