NPIMap

Organization Active NPI

Chapel Hill Eyecare, OD PLLC

  • Medical Specialty Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1790291219
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2174 Issued in NC
Legal business name
CHAPEL HILL EYECARE, OD PLLC
Practice address
235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone
(919) 968-4774
Fax
(919) 942-5291
NPI assigned
Dec 20, 2017
Last updated
Dec 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Joshua Scott Sikes, ODNPI 1003149113
Title
Owner / Doctor
Phone
(910) 547-4020

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
Medical Specialty Clinic/Center 261QM2500X 2174 NC Primary

Addresses

Primary practice location

235 S Elliott Rd
Chapel Hill, NC 27514-5831

Mailing address

235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone (919) 968-4774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180208000381 NC Part B Supplier - Clinic/Group Practice 4880954064 Receives reassigned benefits from 3 practitioners
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

235 S Elliott Rd
Chapel Hill, NC 27514
Phone (919) 968-4774

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1790291219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-942-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-942-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL EYECARE, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "910-547-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.