NPIMap

Organization Active NPI

Contact Lens Institute, Optometry, PA

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1851480347
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1148 Issued in NC
Legal business name
CONTACT LENS INSTITUTE, OPTOMETRY, PA
Practice address
7016 Harps Mill Rd Ste 103
Raleigh, NC 27615-3243
Phone
(919) 847-6889
Fax
(919) 847-2441
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Doris Chin, ODNPI 1033111976
Title
Dr
Phone
(919) 847-6889

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1148 NC Primary

Addresses

Primary practice location

7016 Harps Mill Rd Ste 103
Raleigh, NC 27615-3243

Mailing address

7016 Harps Mill Rd Ste 103
Raleigh, NC 27615-3243
Phone (919) 847-6889

Other identifiers 2

IdentifierTypeStateIssuer
09954OtherNCBCBS GROUP #
8909149MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1851480347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 HARPS MILL RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153243",
            "telephone_number": "919-847-6889",
            "fax_number": "919-847-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 HARPS MILL RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153243",
            "telephone_number": "919-847-6889",
            "fax_number": "919-847-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT LENS INSTITUTE, OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "919-847-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "09954",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.