Organization Active NPI

Desmone Family Eye Care, OD PA

Doing business as Eye Clinic of Havelock

  • Optometrist
  • Havelock, NC
National Provider Identifier
1861565319
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DESMONE FAMILY EYE CARE, OD PA
Doing business as
Eye Clinic of Havelock
Practice address
306 E Main St
Suite a
Havelock, NC 28532-2214
Phone
(252) 447-2768
Fax
(252) 447-2804
NPI assigned
Nov 15, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
John Francis Desmone, O.D.NPI 1285707703
Title
Vice President
Phone
(252) 447-2768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

306 E Main St
Suite a
Havelock, NC 28532-2214

Mailing address

306 E Main St
Suite a
Havelock, NC 28532-2214
Phone (252) 447-2768

Other identifiers 2

IdentifierTypeStateIssuer
0203LOtherNCBLUE CROSS BLUE SHIELD
790203LMedicaidNC

Other names 1

  • Eye Clinic of Havelock Doing business as

National Provider Directory

National Provider Directory

Locations

306 E Main St
Havelock, NC 28532
Phone (252) 447-2768

306 E Main St
#A
Havelock, NC 28532
Phone (252) 447-2768

306A E Main St
Havelock, NC 28532
Phone (252) 447-2768

Practitioners & affiliated clinicians

Practitioners 2

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1861565319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "address_2": "SUITE A",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322214",
            "telephone_number": "252-447-2768",
            "fax_number": "252-447-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "address_2": "SUITE A",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322214",
            "telephone_number": "252-447-2768",
            "fax_number": "252-447-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESMONE FAMILY EYE CARE, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "DESMONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "252-447-2768",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0203L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790203L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic of Havelock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.