Organization Active NPI

Premier Eye Care O.D., P.a.

  • Optometrist
  • Shelby, NC
National Provider Identifier
1992145015
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2233 Issued in NC
Legal business name
PREMIER EYE CARE O.D., P.A.
Practice address
705 E Dixon Blvd
Walmart Vision Center #1034
Shelby, NC 28152-6821
Phone
(704) 487-0031
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Dr. Carrie E Carpenter, O.D.
Title
Owner
Phone
(704) 629-3794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2233 NC Primary

Addresses

Primary practice location

705 E Dixon Blvd
Walmart Vision Center #1034
Shelby, NC 28152-6821

Mailing address

250 Davis Plantation Rd
Bessemer City, NC 28016-8532
Phone (704) 629-3794

National Provider Directory

National Provider Directory

Locations

705 E Dixon Blvd
#1034
Shelby, NC 28152
Phone (704) 487-0031

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1992145015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DAVIS PLANTATION RD",
            "city": "BESSEMER CITY",
            "state": "NC",
            "postal_code": "280168532",
            "telephone_number": "704-629-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E DIXON BLVD",
            "address_2": "WALMART VISION CENTER #1034",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526821",
            "telephone_number": "704-487-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE CARE O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-629-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.