Individual provider Active NPI

Charles Ronald Tomkinson, OD

  • Optometrist
  • Lexington, NC
National Provider Identifier
1861471062
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0931 Issued in NC
Practice address
801 E Center St
Lexington, NC 27292-4401
Phone
(336) 249-8901
Fax
(336) 248-2695
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0931 NC Primary

Addresses

Primary practice location

801 E Center St
Lexington, NC 27292-4401

Mailing address

801 E Center St
Lexington, NC 27292-4401
Phone (336) 249-8901

Other identifiers 1

IdentifierTypeStateIssuer
8909909MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0931NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Carolina Associates in Optometry PA Optometrist PastSince Aug 1, 1987 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1861471062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924401",
            "telephone_number": "336-249-8901",
            "fax_number": "336-248-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924401",
            "telephone_number": "336-249-8901",
            "fax_number": "336-248-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKINSON",
        "first_name": "CHARLES",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909909",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.