Organization Active NPI

Michael D Emmett

  • Optometrist
  • Mount Holly, NC
National Provider Identifier
1912170630
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1257 Issued in NC
Legal business name
MICHAEL D EMMETT
Practice address
132 W Charlotte Ave
Mount Holly, NC 28120-1776
Phone
(704) 827-2009
Fax
(704) 827-0435
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Michael Darren Emmett, O.D.
Title
Owner
Phone
(704) 827-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1257 NC Primary

Addresses

Primary practice location

132 W Charlotte Ave
Mount Holly, NC 28120-1776

Mailing address

132 W Charlotte Ave
Mount Holly, NC 28120-1776
Phone (704) 827-2009

National Provider Directory

National Provider Directory

Locations

132 W Charlotte Ave
Mt Holly, NC 28120
Phone (704) 827-2009

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1912170630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W CHARLOTTE AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201776",
            "telephone_number": "704-827-2009",
            "fax_number": "704-827-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W CHARLOTTE AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201776",
            "telephone_number": "704-827-2009",
            "fax_number": "704-827-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D EMMETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "EMMETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-827-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.