NPIMap

Organization Active NPI

Rocky Mount Opticians

  • Optician
  • Rocky Mount, NC
National Provider Identifier
1790999449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
263 Issued in NC
Legal business name
ROCKY MOUNT OPTICIANS
Practice address
3309 Sunset Ave
Rocky Mount, NC 27804-1496
Phone
(252) 443-6845
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ralph Watson Wallace Jr., OPTICIAN
Title
President
Phone
(252) 443-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 263 NC Primary

Addresses

Primary practice location

3309 Sunset Ave
Rocky Mount, NC 27804-1496

Mailing address

PO Box 8496
Rocky Mount, NC 27804-1496
Phone (252) 443-6845

National Provider Directory

National Provider Directory

Locations

3309 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-6845

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790999449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8496",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041496",
            "telephone_number": "252-443-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041496",
            "telephone_number": "252-443-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNT OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-443-6845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, 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.

Verify at the official NPI Registry.