Paulsen Coleman Arnold, O.D.

Key facts

NPI

1811087786

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

1696 (NC)

Practice address

232 Green St
Williamston, NC 27892-2000

Phone

(252) 792-6611

Fax

(252) 799-0797

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rose Eye Care LLC Eyewear Supplier · Thomasville, GA · NPI 1306029251
  Medicare reassignment NPD GA · OPTOMETRIST
• Steven M. Wilson, O.D., P.C. Optometrist · Valdosta, GA · NPI 1750506671
  Medicare reassignment NPD GA · OPTOMETRIST
• Wake Forest Pediatric Associates, PLLC Pediatrics Physician · Wake Forest, NC · NPI 1790782126
  NPD (past)
• Oneopto Ga 1 PLLC Optometrist · Thomasville, GA · NPI 1770432189
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Southern College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2021.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1811087786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022947",
            "telephone_number": "229-244-3000",
            "fax_number": "229-244-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 GREEN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922000",
            "telephone_number": "252-792-6611",
            "fax_number": "252-799-0797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 N Patterson St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022947",
            "country_code": "US",
            "telephone_number": "229-244-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "PAULSEN",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890926F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PIN",
            "identifier": "0926F",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@WilsonEyeCenterValdostaGA.CompulinkDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2108 N Patterson St",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316022947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Williamston, NC · Optometrist in North Carolina