David Lauren Fitzgerald OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAVID LAUREN FITZGERALD OD PA

Practice address

601 Greenville Blvd SE
Greenville, NC 27858-6738

Phone

(252) 756-4204

Fax

(252) 756-9774

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L Fitzgerald, OD

Title

President

Phone

(252) 756-4204

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Care Center Doing business as

Locations

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1881641249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GREENVILLE BLVD SE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586738",
            "telephone_number": "252-756-4204",
            "fax_number": "252-756-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GREENVILLE BLVD SE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586738",
            "telephone_number": "252-756-4204",
            "fax_number": "252-756-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LAUREN FITZGERALD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-756-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890161P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP NUMBER",
            "identifier": "0161P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dewey Richard Daves, MA
• Alexandra Leigh Davic, MD
• Nicholas Davic, LAT,ATC
• David Lauren Fitzgerald OD PA
• David Lauren Fitzgerald OD PA
• Sobi David, RRT
• Michelle Nicole Davids, PHARMD
• Skylar Parris Davidson
• Tatiana J Davidson, MD
• Laura Jeanette Davila, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.