Eye Associates of Rowan PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9800469 Issued in NC

Legal business name

EYE ASSOCIATES OF ROWAN PA

Practice address

800 W Cemetary St
Salisbury, NC 28144-3212

Phone

(704) 633-0345

Fax

(704) 636-4981

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Donald Bergsma, M.D.NPI 1326052234

Title

Physician

Phone

(704) 633-0345

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dbergsma@eaor.intellechartdirect.net

Practitioners 1

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

• Donald R. Bergsma Jr., M.D.

  • Ophthalmology Physician
  • Salisbury, NC
  • NPI 1326052234
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1831103753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CEMETARY ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443212",
            "telephone_number": "704-633-0345",
            "fax_number": "704-636-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CEMETARY ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443212",
            "telephone_number": "704-633-0345",
            "fax_number": "704-636-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF ROWAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "BERGSMA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-633-0345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9800469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "2280715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Salisbury, NC
• Providers in Salisbury, 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 Oct 5, 2011; 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.