NPIMap

Organization Active NPI

Weitzel & Associates PA

Doing business as 20 20 Vision Center

  • Optometrist
  • Greenville, NC
National Provider Identifier
1790881076
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1379 Issued in NC
Legal business name
WEITZEL & ASSOCIATES PA
Doing business as
20 20 Vision Center
Practice address
116 Regency Blvd
Greenville, NC 27834-4644
Phone
(252) 754-2020
Fax
(252) 493-0100
NPI assigned
Sep 15, 2006
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. Eileen M Weitzel, ODNPI 1063465300
Title
Owner Optometrist
Phone
(252) 754-2020

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 1379 NC Primary

Addresses

Primary practice location

116 Regency Blvd
Greenville, NC 27834-4644

Mailing address

116 Regency Blvd
Greenville, NC 27834-4644
Phone (252) 754-2020

Other names 1

  • 20 20 Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000700 NC Part B Supplier - Clinic/Group Practice 8729989553 Receives reassigned benefits from 5 practitioners
Practice locations: Goldsboro, NC; Greenville, NC; Kinston, NC

National Provider Directory

National Provider Directory

Locations

621 N Berkeley Blvd
Ste D
Goldsboro, NC 27534
Phone (919) 778-2023

116 Regency Blvd
Greenville, NC 27834
Phone (252) 754-2020

1212 Brown St
Washington, NC 27889
Phone (252) 501-0403

Practitioners & affiliated clinicians

Practitioners 10

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1790881076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 REGENCY BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344644",
            "telephone_number": "252-754-2020",
            "fax_number": "252-493-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 REGENCY BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344644",
            "telephone_number": "252-754-2020",
            "fax_number": "252-493-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEITZEL & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "252-754-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20 20 Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "20 20 Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.