Organization Active NPI

Pediatric Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1821239971
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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.
Title
President
Phone
(336) 271-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 2009-00114 NC Primary

Addresses

Primary practice location

2519 Oakcrest Ave
Greensboro, NC 27408-4707

Mailing address

2519 Oakcrest Ave
Greensboro, NC 27408-4707
Phone (336) 271-2007

National Provider Directory

National Provider Directory

Locations

2519 Oakcrest Ave
Greensboro, NC 27408
Phone (336) 271-2007

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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": []
}

Other providers in Greensboro, NC

Sources for this page

  • 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.