Wakefield Eye Care, OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2162 Issued in NC

Legal business name

WAKEFIELD EYE CARE, OD PLLC

Practice address

12000 Retail Dr
Wake Forest, NC 27587-7353

Phone

(919) 554-1906

Fax

(919) 761-1006

NPI assigned

Oct 27, 2010

Last updated

Oct 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hillary Jane Dolan, O.D.

Title

Owner

Phone

(919) 554-1906

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1851691604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2051",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275882051",
            "telephone_number": "919-554-1906",
            "fax_number": "919-761-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 RETAIL DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877353",
            "telephone_number": "919-554-1906",
            "fax_number": "919-761-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD EYE CARE, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-554-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.