NPIMap

Organization Active NPI

Thurmond Eye Associates OD, PA

  • Primary Care Clinic/Center
  • Burlington, NC
National Provider Identifier
1962521690
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1402 Issued in NC
Legal business name
THURMOND EYE ASSOCIATES OD, PA
Practice address
310 S Church St
Burlington, NC 27215-3711
Phone
(336) 226-7357
Fax
(336) 227-8119
NPI assigned
Mar 27, 2007
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. George Sherman Thurmond II, O.D.NPI 1255312963
Title
Doctor
Phone
(336) 226-7357

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
Primary Care Clinic/Center 261QP2300X 1402 NC Primary

Addresses

Primary practice location

310 S Church St
Burlington, NC 27215-3711

Mailing address

310 S Church St
Burlington, NC 27215-3711
Phone (336) 226-7357

Other identifiers 1

IdentifierTypeStateIssuer
890991KMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000339 NC Part B Supplier - Clinic/Group Practice 1557578531 Receives reassigned benefits from 13 practitioners
Practice locations: Burlington, NC

National Provider Directory

National Provider Directory

Locations

310 S Church St
Burlington, NC 27215
Phone (336) 222-1720

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1962521690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153711",
            "telephone_number": "336-226-7357",
            "fax_number": "336-227-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153711",
            "telephone_number": "336-226-7357",
            "fax_number": "336-227-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURMOND EYE ASSOCIATES OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "336-226-7357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890991K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.