Clemmons Family Eye Care

Key facts

NPI

1861803124

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

1020 (NC)

Legal business name

CLEMMONS FAMILY EYE CARE

Practice address

6301 Stadium Dr
Clemmons, NC 27012-8766

Phone

(336) 766-7373

NPI assigned

May 8, 2014

Organization subpart

No

Authorized official

Name

Ms. Renee' Osborne, MA, AAMA

Title

Billing and Insurance Specialist

Phone

(336) 766-7373

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2014.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1861803124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "6301 STADIUM DRIVE",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "27012",
            "telephone_number": "336-766-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 STADIUM DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128766",
            "telephone_number": "336-766-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMMONS FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "RENEE'",
        "authorized_official_title_or_position": "BILLING AND INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "336-766-7373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, AAMA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Clemmons, NC · Optometrist in North Carolina