NPIMap

Organization Active NPI

Piedmont Eye Care O.D.,P.a.

  • Optometrist
  • Gastonia, NC
National Provider Identifier
1861472037
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1142 Issued in NC
Legal business name
PIEDMONT EYE CARE O.D.,P.A.
Practice address
1302 E Garrison Blvd
Gastonia, NC 28054-5129
Phone
(704) 867-1210
NPI assigned
Jan 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Michael Scott, O.D.
Title
President
Phone
(704) 867-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1142 NC Primary

Addresses

Primary practice location

1302 E Garrison Blvd
Gastonia, NC 28054-5129

Mailing address

1302 E Garrison Blvd
Gastonia, NC 28054-5129
Phone (704) 867-1210

Other identifiers 2

IdentifierTypeStateIssuer
5908187MedicaidNC
1179OtherNCMEDICARE GROUP/ORGANIZATION PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1861472037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545129",
            "telephone_number": "704-867-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545129",
            "telephone_number": "704-867-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT EYE CARE O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-21",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-867-1210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908187",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ORGANIZATION PTAN",
            "identifier": "1179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.