Village Eye Care Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1434 Issued in NC

Legal business name

VILLAGE EYE CARE OPTOMETRY, PLLC

Practice address

1001 Wade Ave Ste 110
Raleigh, NC 27605-3322

Phone

(919) 828-2078

Fax

(919) 833-9835

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher D. Bateman, O.D.NPI 1306868484

Title

Member/Manager

Phone

(919) 828-2078

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Village Eye Care Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Village Eye Care Optometry, PLLC

  • Optometrist
  • Raleigh, NC
  • NPI 1427291053
  NPD tax ID

Locations

Practitioners 1

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

• Christopher D Bateman, OD

  • Optometrist
  • Raleigh, NC
  • NPI 1306868484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1952550154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WADE AVE STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053322",
            "telephone_number": "919-828-2078",
            "fax_number": "919-833-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WADE AVE STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053322",
            "telephone_number": "919-828-2078",
            "fax_number": "919-833-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE EYE CARE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "919-828-2078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0911E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "113708",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "9198282078",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "62579",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1316195",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "3174",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950432",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Vig, MD
• Jeanin R. Vignjevic-Godbolt, PTA
• Deepa Vijay, MD
• Julio Steven Villacis, LPC, NCC
• Village Eye Care Optometry, PLLC
• Village Hands Foundation
• Ivana Villar-Pulido
• Sophia Villaret
• Clara-Jade Raymundo Villazor, FNP-C
• Gabriel Lira Villena, D.D.S.

• 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 Mar 9, 2024; 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.