Organization Active NPI

Dr. Jody D Papazekos

  • Optometrist
  • Taylorsville, NC
National Provider Identifier
1831241728
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1670 Issued in NC
Legal business name
DR. JODY D PAPAZEKOS
Practice address
545 NC Highway 16 S
Taylorsville, NC 28681-9986
Phone
(828) 632-4566
Fax
(828) 632-4566
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Dr. Jody Dale Papazekos, O. D.
Title
Owner, Physican
Phone
(828) 322-3154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1670 NC Primary

Addresses

Primary practice location

545 NC Highway 16 S
Taylorsville, NC 28681-9986

Mailing address

PO Box 231
Taylorsville, NC 28681-0231
Phone (828) 632-4566

Other identifiers 3

IdentifierTypeStateIssuer
0913UOtherNCBCBS PROVIDER #
890913UMedicaidNC
119986000OtherNCDMERC PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

545 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-4564

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1831241728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286810231",
            "telephone_number": "828-632-4566",
            "fax_number": "828-632-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 NC HIGHWAY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286819986",
            "telephone_number": "828-632-4566",
            "fax_number": "828-632-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JODY D PAPAZEKOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "PAPAZEKOS",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER, PHYSICAN",
        "authorized_official_telephone_number": "828-322-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0913U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890913U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PROVIDER NUMBER",
            "identifier": "119986000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.