Active NPI
Harold A Champion, OD
- Optometrist
- Arden, NC
National Provider Identifier
1982649489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1541
- Practice address
- 300 Julian LN
Arden, NC 28704-7809 - Phone
- (828) 650-2727
- Fax
- (828) 650-2725
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1541 | NC | Primary |
Addresses
Primary practice location
300 Julian LN
Arden, NC 28704-7809
Mailing address
300 Julian LN
Arden, NC 28704-7809
Phone (828) 650-2727
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2271057 | Other | NC | UNITED HEALTHCARE |
| 2469371E | Other | NC | MEDICARE ID |
| 10717 | Other | NC | BLUE CROSS BLUE SHIELD |
| 114419 | Other | NC | EYEMED |
| 890910X | Medicaid | NC | |
| 7824373 | Other | NC | CIGNA |
| NC01540 | Other | NC | VISION BENEFITS OF AMERIC |
| 1248120001 | Other | NC | P TAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1540 | NC | MD | Psychologist |
| 1541 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1982649489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 JULIAN LN",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047809",
"telephone_number": "828-650-2727",
"fax_number": "282-650-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 JULIAN LN",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047809",
"telephone_number": "828-650-2727",
"fax_number": "828-650-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "HAROLD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2271057",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "2469371E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10717",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "114419",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890910X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7824373",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "NC01540",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P TAN",
"identifier": "1248120001",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.