Active NPI
Halifax Eye Center PA
- Ophthalmology Physician
- Roanoke Rapids, NC
National Provider Identifier
1841226610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 27035
- Legal business name
- HALIFAX EYE CENTER PA
- Practice address
- 608A Jackson St
Roanoke Rapids, NC 27870-2656 - Phone
- (252) 537-0522
- Fax
- (252) 537-3644
- NPI assigned
- Jun 24, 2006
- Last updated
- Apr 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hashmat A Chaudhry, MD
- Title
- Owner
- Phone
- (252) 537-0522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 27035 | NC | Primary |
Addresses
Primary practice location
608A Jackson St
Roanoke Rapids, NC 27870-2656
Mailing address
608A Jackson St
Roanoke Rapids, NC 27870-2656
Phone (252) 537-0522
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890195E | Medicaid | NC | |
| DG7954 | Other | NC | RAILROAD MEDICARE |
| 0915E | Other | NC | NC BCBS |
National Provider Directory
National Provider DirectoryLocations
608 Jackson St
Ste A
Roanoke Rapids, NC 27870
Phone (252) 537-0522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1841226610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608A JACKSON ST",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278702656",
"telephone_number": "252-537-0522",
"fax_number": "252-537-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608A JACKSON ST",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278702656",
"telephone_number": "252-537-0522",
"fax_number": "252-537-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALIFAX EYE CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "HASHMAT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-537-0522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NC",
"license": "27035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890195E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG7954",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BCBS",
"identifier": "0915E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.