Emery Ward OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1036 Issued in NC

Legal business name

EMERY WARD OD PA

Practice address

1960 Randolph Rd
Charlotte, NC 28207-1129

Phone

(704) 372-5332

NPI assigned

Jul 30, 2010

Organization subpart

No

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

Authorized official

Name

Emery Ward, O.D.

Title

President

Phone

(704) 334-3103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1972817153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S KINGS DR",
            "address_2": "SUITE GG",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042932",
            "telephone_number": "704-334-3103",
            "fax_number": "704-334-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071129",
            "telephone_number": "704-372-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Kings Dr",
            "address_2": "Suite GG",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042932",
            "country_code": "US",
            "telephone_number": "704-334-3103",
            "fax_number": "704-334-3943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERY WARD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "EMERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-334-3103",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charlotte, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.