Hendersonville Eye Care, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HENDERSONVILLE EYE CARE, OD, PA

Practice address

1401 Haywood Rd
Hendersonville, NC 28791-2335

Phone

(828) 693-5205

Fax

(828) 692-2423

NPI assigned

Jun 1, 2006

Last updated

Aug 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew R Cannon, ODNPI 1528057700

Title

Owner

Phone

(828) 693-5205

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Matthew R Cannon, O.D.

  • Optometrist
  • Hendersonville, NC
  • NPI 1528057700
  Authorized official Same address or phone

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1992742712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HAYWOOD RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287912335",
            "telephone_number": "828-693-5205",
            "fax_number": "828-692-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HAYWOOD RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287912335",
            "telephone_number": "828-693-5205",
            "fax_number": "828-692-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE EYE CARE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-693-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.C. BCBS PROV. NUMBER",
            "identifier": "0915P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hendersonville Medical Investors, LLC (Life Care Center of Hendersonville)
• Hendersonville NC Opco LLC

• Optometrist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.