Donna R Wike, O.D., P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

929 Issued in NC

Legal business name

DONNA R WIKE, O.D., P.A

Practice address

1721 C East Broad St.
Statesville, NC 28625-4345

Phone

(704) 873-1423

Fax

(704) 873-1424

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By 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

Dr. Donna R Wike

Title

Doctor/President

Phone

(704) 873-1423

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1871803031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 C EAST BROAD ST.",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254345",
            "telephone_number": "704-873-1423",
            "fax_number": "704-873-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 C EAST BROAD ST.",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254345",
            "telephone_number": "704-873-1423",
            "fax_number": "704-873-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA R WIKE, O.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "WIKE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "704-873-1423",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Brianna Dobbins Jones, AUD
• Jocelyn Peay Dobbins, DC
• James R Dobson, CPSS-V CADC
• Kimberly Byrd Dockery, RNC, GONP
• Lanisa Dodson
• Wendy Doric, FNP-BC
• Deleah Sularon Dorsey, LCSWA
• William A Dotson, HIS, COHC
• Mary L. Doub, L.P.C.A.
• Douglas Dussel Pritchard MD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.