Western Carolina Eye Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1704 Issued in NC

Legal business name

WESTERN CAROLINA EYE ASSOCIATES, PA

Practice address

257 Medical Park Dr
Jefferson, NC 28640-9561

Phone

(336) 246-3937

NPI assigned

Sep 6, 2006

Last updated

Nov 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Elizabeth Case

Title

Practice Manager

Phone

(828) 264-0042

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Western Carolina Eye Associates, PA

  • Ophthalmology Physician
  • Boone, NC
  • NPI 1093776403

  O20100326000826

  Same enrollment

Locations

Practitioners 5

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.

• Penelope Marie Copenhaver, O.D.

  • Optometrist
  • Boone, NC
  • NPI 1710925540
  NPD
• Savannah Sheets Davis, OD

  • Optometrist
  • Boone, NC
  • NPI 1235623216
  NPD
• Blair B Holden, O.D.

  • Optometrist
  • Boone, NC
  • NPI 1700430576
  NPD
• Daniel P Krontz, MD

  • Ophthalmology Physician
  • Boone, NC
  • NPI 1326048919
  NPD
• Mandy Lynnette Lanier, OD

  • Optometrist
  • Boone, NC
  • NPI 1902949258
  NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1871696740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074738",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MEDICAL PARK DR",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409561",
            "telephone_number": "336-246-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-264-0042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1704",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "31161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Gabriel Ward, LPC
• Watauga Medical Center Inc (ARHS Heart & Vascular Center - Ashe)
• Watauga Medical Center, Inc. (Seby B. Jones Regional Cancer Center - Ashe)
• Watauga Medical Center, Inc. (The Cardiology Center - Ashe)
• David Anthony Weisenhorn, LPC-A
• Wilkes Radiology, PA
• Paula A Williams, MS,RD,LDN
• Emily Claire Wilson, PT, DPT
• Melinda Donelle Wonsick, M.D.
• Nicholas Cole Woods, LMFT

• Optometrist in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.