Organization Active NPI

Waner Family Eye Care O.D., PLLC

  • Optometrist
  • Morehead City, NC
National Provider Identifier
1942480512
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2053 Issued in NC
Legal business name
WANER FAMILY EYE CARE O.D., PLLC
Practice address
300 Hwy 24
Morehead City, NC 28557-2551
Phone
(252) 247-5489
Fax
(252) 247-5823
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Matthew Robert Waner, O.D.NPI 1023120755
Title
Optometrist
Phone
(252) 247-5489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2053 NC Primary

Addresses

Primary practice location

300 Hwy 24
Morehead City, NC 28557-2551

Mailing address

1651 New Bern St
Newport, NC 28570-9635
Phone (252) 247-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000389 NC Part B Supplier - Clinic/Group Practice 2769569805 Receives reassigned benefits from 2 practitioners
Practice locations: Morehead City, NC

National Provider Directory

National Provider Directory

Locations

300 NC Highway 24
Morehead City, NC 28557
Phone (252) 247-0511

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1942480512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 NEW BERN ST",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285709635",
            "telephone_number": "252-247-5489",
            "fax_number": "252-247-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HWY 24",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572551",
            "telephone_number": "252-247-5489",
            "fax_number": "252-247-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANER FAMILY EYE CARE O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "WANER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "252-247-5489",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.