Carolina Eye Prosthetics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CAROLINA EYE PROSTHETICS, INC.

Practice address

420 Maple Ave
Burlington, NC 27215-5934

Phone

(336) 228-7877

Fax

(336) 228-7514

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Boyd Jefferson, BCONPI 1477675676

Title

President

Phone

(336) 228-7877

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Boyd Jefferson, A.O.

  • Prosthetist
  • Burlington, NC
  • NPI 1477675676
  NPD (past) Authorized official
• Emma Boyd, BCO

  • Ocularist
  • Greensboro, NC
  • NPI 1699342154

  Prosthetist

  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1861465205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAPLE AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155934",
            "telephone_number": "336-228-7877",
            "fax_number": "336-228-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAPLE AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155934",
            "telephone_number": "336-228-7877",
            "fax_number": "336-228-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-228-7877",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "335E00000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0494I",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Behavioral Care
• Carolina Behavioral Care
• Carolina Behavioral Health & Psychological Resources, PLLC
• Carolina Diagnostics, Inc.
• Carolina Enhancement Services LLC
• Carolina Therapeutic Children and Family Services, Inc
• Carolina Therapeutic Family and Children Services
• Beverly R Carr
• Benjamin Michael Carrion, PA-C
• Donna C Carroll, NPC

• Customized Equipment (DME) in Burlington, NC
• Providers in Burlington, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.