Active NPI
Eye Care Associates OD PA
- Optometrist
- Raleigh, NC
National Provider Identifier
1871551796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYE CARE ASSOCIATES OD PA
- Practice address
- 2024 Cameron St
Raleigh, NC 27605-1311 - Phone
- (919) 863-2015
- Fax
- (919) 861-0540
- NPI assigned
- May 2, 2006
- Last updated
- Feb 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Bolick, OD
- Title
- Ceo
- Phone
- (919) 847-0187
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2024 Cameron St
Raleigh, NC 27605-1311
Mailing address
7100 Six Forks Rd
Suite 301
Raleigh, NC 27615-6156
Phone (919) 847-0187
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015JU | Other | NC | BLUECROSS |
| 89015JU | Medicaid | NC | |
| CK2419 | Other | NC | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Raleigh, NC
- NPI 1992798433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360540800000",
"number": "1871551796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 SIX FORKS RD",
"address_2": "SUITE 301",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156156",
"telephone_number": "919-847-0187",
"fax_number": "919-676-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 CAMERON ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051311",
"telephone_number": "919-863-2015",
"fax_number": "919-861-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE ASSOCIATES OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2013-02-11",
"status": "A",
"authorized_official_last_name": "BOLICK",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-847-0187",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "015JU",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015JU",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK2419",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.