NPIMap

Organization Active NPI

Camel City Optometric, P.a.

Doing business as Eyes on Trade

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1962928556
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAMEL CITY OPTOMETRIC, P.A.
Doing business as
Eyes on Trade
Practice address
604 N Trade St
Winston Salem, NC 27101-2917
Phone
(336) 997-4134
NPI assigned
Aug 16, 2017
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Mrs. Margaret Helms
Title
Practice Manager
Phone
(336) 997-4134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC Primary

Addresses

Primary practice location

604 N Trade St
Winston Salem, NC 27101-2917

Mailing address

1718 Lancelot LN
Winston Salem, NC 27103-5110

Other names 1

  • Eyes on Trade Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321000916 NC Part B Supplier - Clinic/Group Practice 2860732237 Receives reassigned benefits from 13 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

604 N Trade St
Winston Salem, NC 27101
Phone (336) 997-4134

604 N Trade St
#B
Winston Salem, NC 27101
Phone (336) 727-3727

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": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1962928556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 LANCELOT LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N TRADE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012917",
            "telephone_number": "336-997-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEL CITY OPTOMETRIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-997-4134",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on Trade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.