Spectrum Family Eye Center Optometric PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SPECTRUM FAMILY EYE CENTER OPTOMETRIC PA

Practice address

160 Fox Hollow
Pinehurst, NC 28374

Phone

(910) 692-3937

Fax

(910) 692-5908

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Lorance Kennedy Burngarner, OD

Title

President

Phone

(910) 692-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Scott Athans, OD

  • Optometrist
  • Pinehurst, NC
  • NPI 1417902156
  Medicare reassignment Care Compare group NPD
• Michele Philbrick Keel, OD

  • Optometrist
  • Pinehurst, NC
  • NPI 1821065418
  Medicare reassignment Care Compare group NPD
• Keith P Poindexter, OD

  • Optometrist
  • Lumberton, NC
  • NPI 1427060201
  Medicare reassignment Care Compare group NPD
• Lorance Kennedy Bumgarner, OD

  • Optometrist
  • Pinehurst, NC
  • NPI 1578590360
  Medicare reassignment NPD
• Ralph M Hendrix Jr., OD

  • Optometrist
  • Red Springs, NC
  • NPI 1568528321
  Medicare reassignment NPD
• William C Adams, O.D.

  • Optometrist
  • Benson, NC
  • NPI 1821056052
  NPD (past)
• Susan C Beachler, OD

  • Optometrist
  • Carthage, NC
  • NPI 1689681652
  NPD (past)
• Valerie K Cox, OD

  • Optometrist
  • Pinehurst, NC
  • NPI 1568402543
  NPD (past)
• Millie A Johnson, O.D.

  • Optometrist
  • Benson, NC
  • NPI 1184682312
  NPD (past)
• Richard Gene Johnson, OD

  • Optometrist
  • Biggs Park, NC
  • NPI 1083699458
  NPD (past)
• Nathaniel Alexander Martin IV, OD

  • Optometrist
  • Sanford, NC
  • NPI 1952393035
  NPD (past)
• Patrick Michael McLaren, O.D.

  • Optometrist
  • Mount Olive, NC
  • NPI 1891755625
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1912934704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOX HOLLOW",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-692-3937",
            "fax_number": "910-692-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOX HOLLOW",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-692-3937",
            "fax_number": "910-692-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FAMILY EYE CENTER OPTOMETRIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BURNGARNER",
        "authorized_official_first_name": "LORANCE",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-692-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0224E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4528892",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890224E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D Snyder, MD
• Michael F Soboeiro, MD
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• Sujatha Soma, MD
• Southern Assisted Living, LLC.
• Speech Connections, LLC
• Speech Connections, LLC
• Spencer L Smith DMD PLLC
• Lauren Spera, M.S. BCBA LBS
• Thomas Spiegel, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.