Downtown Raleigh Eyecarecenter OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOWNTOWN RALEIGH EYECARECENTER OD

Doing business as

eyecarecenter

Practice address

121 Fayetteville Street Mall
Suite 112
Raleigh, NC 27601-1466

Phone

(919) 856-8555

Fax

(919) 821-4817

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A Weitz, OD

Title

President

Phone

(919) 856-8555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• eyecarecenter Doing business as

Locations

Practitioners 3

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

• Allan Leslie Meyer Barker, O.D.

  • Optometrist
  • Wrightsville Beach, NC
  • NPI 1477592145
  NPD (past)
• Donavon R Cloninger Jr., OD

  • Optometrist
  • Cary, NC
  • NPI 1427073410
  NPD (past)
• Kimberly Z Hoyle, OD

  • Optometrist
  • Denver, NC
  • NPI 1629165196
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1942330956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FAYETTEVILLE STREET MALL",
            "address_2": "SUITE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011466",
            "telephone_number": "919-856-8555",
            "fax_number": "919-821-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FAYETTEVILLE STREET MALL",
            "address_2": "SUITE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011466",
            "telephone_number": "919-856-8555",
            "fax_number": "919-821-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN RALEIGH EYECARECENTER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "WEITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-856-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906473",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP",
            "identifier": "019CU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eyecarecenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jairon Daniel Downs, MD
• Makayla Downs
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• Downtown Raleigh Counseling, PLLC
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• Amy Doyle, BCBA
• Caitlin Doyle, PHARMD
• Colleen Marie Doyle, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.