NPIMap

Organization Active NPI

Chapel Hill Eye Care and Optometry PA

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1790736106
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHAPEL HILL EYE CARE AND OPTOMETRY PA
Practice address
235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone
(919) 968-4774
Fax
(919) 942-5291
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Carl Ray Stice
Title
Secretary for Corporation
Phone
(919) 968-4774

Specialties & licenses 1

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

Other identifiers 1

IdentifierTypeStateIssuer
0152QOtherNCBCBS OF NC

Other names 1

  • Chapel Hill Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1790736106",
    "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 EYE CARE AND OPTOMETRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "STICE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SECRETARY FOR CORPORATION",
        "authorized_official_telephone_number": "919-968-4774"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0152Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel Hill Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2012; 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.