NPIMap

Organization Active NPI

Insight Optometric Services P a

  • Corneal and Contact Management Optometrist
  • Beaufort, NC
National Provider Identifier
1831386531
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1505 Issued in NC
Legal business name
INSIGHT OPTOMETRIC SERVICES P A
Practice address
300 Campen Rd
Suite a
Beaufort, NC 28516-1500
Phone
(252) 838-8822
Fax
(252) 838-0013
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Dr. Patrick A Patterson, O.D.NPI 1306891015
Title
President
Phone
(252) 838-8822

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1505 NC Primary

Addresses

Primary practice location

300 Campen Rd
Suite a
Beaufort, NC 28516-1500

Mailing address

300 Campen Rd
Suite a
Beaufort, NC 28516-1500
Phone (252) 838-8822

Other identifiers 3

IdentifierTypeStateIssuer
019N4OtherNCBCBSNC
410047817OtherNCRAILROAD MEDICARE
5907796MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080303000805 NC Part B Supplier - Clinic/Group Practice 3173607934 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Beaufort, NC; Morehead City, NC
O20100930056073 NC DME Supplier - Physician - OptometristDME Supplier - Optician 3173607934 Practice locations: Beaufort, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Insight Optometric Services P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Campen Rd
Beaufort, NC 28516

Practitioners & affiliated clinicians

Practitioners 5

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1831386531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAMPEN RD",
            "address_2": "SUITE A",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161500",
            "telephone_number": "252-838-8822",
            "fax_number": "252-838-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAMPEN RD",
            "address_2": "SUITE A",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161500",
            "telephone_number": "252-838-8822",
            "fax_number": "252-838-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT OPTOMETRIC SERVICES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-838-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "019N4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047817",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.