Organization Active NPI

Element Eye Care, O.D., PLLC

  • Optometrist
  • Concord, NC
National Provider Identifier
1821481359
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2103 Issued in NC
Legal business name
ELEMENT EYE CARE, O.D., PLLC
Practice address
8561 Concord Mills Blvd
Ste B
Concord, NC 28027-5408
Phone
(704) 979-5482
Fax
(704) 979-6236
NPI assigned
Mar 9, 2015
Organization subpart
Yes
Parent organization
ELEMENT EYE CARE, O.D., PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Nicolotte Lea Zawilinski, O.D.
Title
Owner / Optometrist
Phone
(704) 992-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2103 NC Primary

Addresses

Primary practice location

8561 Concord Mills Blvd
Ste B
Concord, NC 28027-5408

Mailing address

9623 E Independence Blvd
Ste a
Matthews, NC 28105-8602
Phone (704) 992-9410

Other names 1

  • Element Eye Care Doing business as

National Provider Directory

National Provider Directory
Part of
Element Eye Care OD PLLC

Locations

8561 Concord Mills Blvd
#B
Concord, NC 28027
Phone (704) 979-8234

9623 E Independence Blvd
Ste A
Matthews, NC 28105
Phone (704) 992-9410

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1821481359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 E INDEPENDENCE BLVD",
            "address_2": "STE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058602",
            "telephone_number": "704-992-9410",
            "fax_number": "704-846-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8561 CONCORD MILLS BLVD",
            "address_2": "STE B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275408",
            "telephone_number": "704-979-5482",
            "fax_number": "704-979-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT EYE CARE, O.D., PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENT EYE CARE, O.D., PLLC",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "ZAWILINSKI",
        "authorized_official_first_name": "NICOLOTTE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "704-992-9410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Element Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.