Doctors Vision Center OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOCTORS VISION CENTER OD PA

Practice address

520 Dunn-Erwin Road
Dunn, NC 28334

Phone

(910) 892-7002

Fax

(910) 892-8536

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Tina M Burgess

Title

Credentialing Specialist

Phone

(252) 442-0802

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1922056563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7396",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DUNN-ERWIN ROAD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28334",
            "telephone_number": "910-892-7002",
            "fax_number": "910-892-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS VISION CENTER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "252-442-0802"
    },
    "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": "MEDICAID GROUP NUMBER",
            "identifier": "890129N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP #",
            "identifier": "0129N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "246648N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Dement, PA-C
• Allison Marguerite Deocampo
• David M. Dermott, PSY.D., LPA, LPC
• Developmental Play Services, LLC
• Theresa Lynn Dias, COTAL
• Susan Dorsey
• Joehannah Dorvilier-Augustin
• Dr Alan L Byrd & Associates of Erwin OD PA
• Dr J Michael Williams PA
• Walter Lee Duke III, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.