Organization Active NPI

Dr Joann Todd & Associates of Optometry, PLLC

  • Optometrist
  • Mount Olive, NC
National Provider Identifier
1992044473
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2138 Issued in NC
Legal business name
DR JOANN TODD & ASSOCIATES OF OPTOMETRY, PLLC
Practice address
1122 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone
(919) 658-2020
Fax
(919) 658-0487
NPI assigned
Feb 4, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Joann Todd, ODNPI 1205169653
Title
President
Phone
(919) 658-2020

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
Optometrist 152W00000X 2138 NC Primary

Addresses

Primary practice location

1122 N Breazeale Ave
Mount Olive, NC 28365-1121

Mailing address

1122 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone (919) 658-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130520000726 NC Part B Supplier - Clinic/Group Practice 6204074891 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Olive, NC

National Provider Directory

National Provider Directory

Locations

1122 N Breazeale Ave
Mount Olive, NC 28365
Phone (919) 639-2020

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1992044473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N BREAZEALE AVE",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651121",
            "telephone_number": "919-658-2020",
            "fax_number": "919-658-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N BREAZEALE AVE",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651121",
            "telephone_number": "919-658-2020",
            "fax_number": "919-658-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOANN TODD & ASSOCIATES OF OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-658-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Olive, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.