Organization Active NPI

Michael R. Sigmon, OD, PLLC

  • Medical Specialty Clinic/Center
  • Hickory, NC
National Provider Identifier
1902074685
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1400 Issued in NC
Legal business name
MICHAEL R. SIGMON, OD, PLLC
Practice address
2063 15TH Avenue PL SE
Hickory, NC 28602-8340
Phone
(828) 322-2606
Fax
(828) 322-3163
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Michael R Sigmon, O.D.
Title
Owneroptometrist
Phone
(828) 322-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1400 NC Primary

Addresses

Primary practice location

2063 15TH Avenue PL SE
Hickory, NC 28602-8340

Mailing address

2063 15TH Avenue PL SE
Hickory, NC 28602-8340
Phone (828) 322-2606

Other identifiers 1

IdentifierTypeStateIssuer
890982KMedicaidNC

National Provider Directory

National Provider Directory

Locations

2063 15th Avenue Pl SE
Hickory, NC 28602
Phone (828) 322-2606

304 Rink Dam Rd
Taylorsville, NC 28681
Phone (828) 495-1234

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1902074685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 15TH AVENUE PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028340",
            "telephone_number": "828-322-2606",
            "fax_number": "828-322-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 15TH AVENUE PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028340",
            "telephone_number": "828-322-2606",
            "fax_number": "828-322-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. SIGMON, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "SIGMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNEROPTOMETRIST",
        "authorized_official_telephone_number": "828-322-2606",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890982K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.