Organization Active NPI

Carolina Vision Care DRS. McIntosh & Associates OD PA

Doing business as Carolina Vision Care

  • Optometrist
  • Winterville, NC
National Provider Identifier
1841837085
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAROLINA VISION CARE DRS. MCINTOSH & ASSOCIATES OD PA
Doing business as
Carolina Vision Care
Practice address
915 E Fire Tower Rd Ste 108
Winterville, NC 28590-9398
Phone
(252) 752-4380
Fax
(252) 757-0419
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA VISION CARE DR. THOMAS C. MCINTOSH OD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Melonie R McIntosh
Title
Corporate Officer
Phone
(252) 752-4380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X
Optometrist 152W00000X Primary

Addresses

Primary practice location

915 E Fire Tower Rd Ste 108
Winterville, NC 28590-9398

Mailing address

1804 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-4380

Other names 1

  • Carolina Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108001894 NC Part B Supplier - Clinic/Group Practice 4688087745 Receives reassigned benefits from 4 practitioners
Practice locations: Winterville, NC

National Provider Directory

National Provider Directory
Part of
Carolina Vision Care Dr Tho

Locations

915 E Fire Tower Rd
Ste 108
Winterville, NC 28590
Phone (252) 516-6581

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1841837085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-4380",
            "fax_number": "252-757-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E FIRE TOWER RD STE 108",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909398",
            "telephone_number": "252-752-4380",
            "fax_number": "252-757-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VISION CARE DRS. MCINTOSH & ASSOCIATES OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA VISION CARE DR. THOMAS C. MCINTOSH OD PA",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "252-752-4380"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.