Organization Active NPI

Watauga Eye Center, PA

  • Ophthalmology Physician
  • Boone, NC
National Provider Identifier
1821053059
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WATAUGA EYE CENTER, PA
Practice address
150 Market Hills Dr
Boone, NC 28607-3678
Phone
(828) 262-1554
Fax
(828) 268-2981
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Julia H Perry
Title
Office Manager
Phone
(828) 262-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

150 Market Hills Dr
Boone, NC 28607-3678

Mailing address

150 Market Hills Dr
Boone, NC 28607-3678
Phone (828) 262-1554

Other identifiers 1

IdentifierTypeStateIssuer
7902495MedicaidNC

National Provider Directory

National Provider Directory

Locations

150 Market Hills Dr
Boone, NC 28607
Phone (828) 262-1554

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1821053059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MARKET HILLS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073678",
            "telephone_number": "828-262-1554",
            "fax_number": "828-268-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MARKET HILLS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073678",
            "telephone_number": "828-262-1554",
            "fax_number": "828-268-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-262-1554"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.