Organization Active NPI

New Garden Eye Care OD PLLC

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1821612409
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEW GARDEN EYE CARE OD PLLC
Practice address
3707 Battleground Ave Ste C
Greensboro, NC 27410-2543
Phone
(336) 314-0747
NPI assigned
May 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Authorized official

Name
Mr. Eric James Ablott, ODNPI 1356629026
Title
Optometrist
Phone
(402) 984-0454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3707 Battleground Ave Ste C
Greensboro, NC 27410-2543

Mailing address

5835 Green Meadow Dr
Greensboro, NC 27410-2505
Phone (336) 314-0747

Other names 1

  • New Garden Eye Care and Eyewear Gallery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL newgardeneyecare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118000430 NC Part B Supplier - Clinic/Group Practice 0840601183 Receives reassigned benefits from 3 practitioners
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

3707 Battleground Ave
Ste C
Greensboro, NC 27410
Phone (336) 314-0747

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": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1821612409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 GREEN MEADOW DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102505",
            "telephone_number": "336-314-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 BATTLEGROUND AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102543",
            "telephone_number": "336-314-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GARDEN EYE CARE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "ABLOTT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-984-0454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "newgardeneyecare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "3707 Battleground Ave Ste C",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274102543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Garden Eye Care and Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.