Pediatric Ophthalmology Associates, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2009-00114 Issued in NC

Legal business name

PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.

Practice address

2519 Oakcrest Ave
Greensboro, NC 27408-4707

Phone

(336) 271-2007

Fax

(336) 271-2904

NPI assigned

Mar 19, 2009

Last updated

Mar 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William O Young, M.D.NPI 1114980505

Title

President

Phone

(336) 271-2007

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• William O Young, MD

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1114980505
  Authorized official Same address or phone
• J Grady Elliott, O.D.

  • Optometrist
  • Winston Salem, NC
  • NPI 1285774166
  NPD (past)
• Nadia Eksir Hensel, O.D.

  • Optometrist
  • Greensboro, NC
  • NPI 1194013839
  NPD (past)
• Wilson Greene McWilliams, M.D.

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1912960212
  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1821239971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 OAKCREST AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084707",
            "telephone_number": "336-271-2007",
            "fax_number": "336-271-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 OAKCREST AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084707",
            "telephone_number": "336-271-2007",
            "fax_number": "336-271-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-271-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2009-00114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Eem Pecen, MD
• Diane Allyn Peck, L.AC.
• Tracy Peck, L.AC.
• Peculiar Counseling & Consulting, PLLC
• Joseph Pedaline, R,PH,
• Pediatric Opthalmology Assoc PA (Kidspecs)
• Pediatric Speech & Language Services Inc
• Pediatric Therapy Connection, PLLC
• Pediatric Therapy Services, Inc.
• Samuel Jefferson Peeples, M.D.

• Ophthalmology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.