Organization Active NPI

Halifax Eye Center PA

  • Ophthalmology Physician
  • Roanoke Rapids, NC
National Provider Identifier
1841226610
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27035 Issued in NC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
890195EMedicaidNC
DG7954OtherNCRAILROAD MEDICARE
0915EOtherNCNC BCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.