NPIMap

Organization Active NPI

Amedco North Carolina LLC

Doing business as Genesis Eye Center

  • Ophthalmology Physician
  • Charlotte, NC
National Provider Identifier
1871845172
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AMEDCO NORTH CAROLINA LLC
Doing business as
Genesis Eye Center
Practice address
817 E Morehead St
#200
Charlotte, NC 28202-2700
Phone
(704) 295-0001
Fax
(704) 295-0002
NPI assigned
Oct 10, 2012
Last updated
Oct 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Galen Grayson, M.D.NPI 1669428975
Title
Owner/Medical Director
Phone
(704) 295-0001

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X NC Primary

Addresses

Primary practice location

817 E Morehead St
#200
Charlotte, NC 28202-2700

Mailing address

817 E Morehead St
#200
Charlotte, NC 28202-2700
Phone (704) 295-0001

Other names 1

  • Genesis Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedco North Carolina LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1871845172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E MOREHEAD ST",
            "address_2": "#200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022700",
            "telephone_number": "704-295-0001",
            "fax_number": "704-295-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E MOREHEAD ST",
            "address_2": "#200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022700",
            "telephone_number": "704-295-0001",
            "fax_number": "704-295-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDCO NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-295-0001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.