Organization Active NPI

Focus Vision Optometric Care, PLLC

  • Optometrist
  • Fayetteville, NC
National Provider Identifier
1891108924
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2308 Issued in NC
Legal business name
FOCUS VISION OPTOMETRIC CARE, PLLC
Practice address
1594 Skibo Rd
Fayetteville, NC 28303-3478
Phone
(336) 392-4261
Fax
(910) 867-7539
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Dr. Bupathi Dissanayake-Musalem, O.D.
Title
Optometrist
Phone
(336) 392-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2308 NC Primary

Addresses

Primary practice location

1594 Skibo Rd
Fayetteville, NC 28303-3478

Mailing address

144 Bandana Way
Cameron, NC 28326-4040
Phone (336) 392-4261

National Provider Directory

National Provider Directory

Locations

1594 Skibo Rd
Fayetteville, NC 28303
Phone (336) 392-4261

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1891108924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BANDANA WAY",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283264040",
            "telephone_number": "336-392-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 SKIBO RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033478",
            "telephone_number": "336-392-4261",
            "fax_number": "910-867-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS VISION OPTOMETRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "DISSANAYAKE-MUSALEM",
        "authorized_official_first_name": "BUPATHI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "336-392-4261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.