Individual provider Active NPI

Philip R Ferrazzo, OPTICIAN

  • Optician
  • Raleigh, NC
National Provider Identifier
1780953406
Registry record updated Jan 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1987 Issued in NC
Practice address
8300 Health Park
Suite 131
Raleigh, NC 27615-4730
Phone
(919) 322-0773
Fax
(919) 615-0456
NPI assigned
Dec 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1987 NC Primary
Optician 156FX1800X 3776 NY
Optician 156FX1800X 1410 FL

Addresses

Primary practice location

8300 Health Park
Suite 131
Raleigh, NC 27615-4730

Mailing address

8300 Health Park
Suite 131
Raleigh, NC 27615-4730
Phone (919) 322-0773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1987NCMDMarriage & Family Therapist
1410FLMDOptician
3776NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422144000000",
    "number": "1780953406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK",
            "address_2": "SUITE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154730",
            "telephone_number": "919-322-0773",
            "fax_number": "919-615-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK",
            "address_2": "SUITE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154730",
            "telephone_number": "919-322-0773",
            "fax_number": "919-615-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAZZO",
        "first_name": "PHILIP",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2015-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "1987",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "3776",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "1410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 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.