Vision International PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VISION INTERNATIONAL PA

Doing business as

Carolina Vision Center

Practice address

2047 Valleygate Dr
Fayetteville, NC 28304-3688

Phone

(910) 485-3937

Fax

(910) 221-3672

NPI assigned

Dec 4, 2006

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Gardner

Title

Chief Operating Officer

Phone

(910) 221-3670

Specialties & licenses 2

Addresses

Other names 1

• Carolina Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: ihurtado@cvc.intellechartdirect.net
• Direct secure messaging: kmccormick@cvc.intellechartdirect.net
• Direct secure messaging: mwoodcock@cvc.intellechartdirect.net
• Direct secure messaging: nrougraff@cvc.intellechartdirect.net
• Direct secure messaging: rfreeman@cvc.intellechartdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray Michael Freeman, M. D.

  • Ophthalmology Physician
  • Fayetteville, NC
  • NPI 1962504514

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Michael George Woodcock, MD

  • Ophthalmology Physician
  • Fayetteville, NC
  • NPI 1871521625
  Medicare reassignment Care Compare group NPD
• Nicholas Rougraff

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1598342305

  NC

  Medicare reassignment Care Compare group NPD
• Ivette Elisa Hurtado

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1043728843
  Medicare reassignment Care Compare group
• Renzo A Zaldivar, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Cary, NC
  • NPI 1548234313

  Ophthalmology

  NPD
• David Josip Grasic, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1982256558
  NPD
• Keith Lyndon McCormick, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Tucson, AZ
  • NPI 1912970815
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1942378187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-3937",
            "fax_number": "910-221-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-3937",
            "fax_number": "910-221-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INTERNATIONAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "910-221-3670"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanjeniqwa Aleiza Vines, MA.ED, LCMHCA, NCC
• Deja Vinson
• Fernandus Vinson, LCMHC
• Vikas M Virkud, MD,FACC
• Virtuous Medical
• Visions Residential Healthcare Services
• Visions Residential Healthcare Services
• Visions Residential Healthcare Services
• Visions Residential Healthcare Services
• Visions Residential Healthcare Services

• Ophthalmology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.