HERITAGE EYE CARE, INC NPI 1003005562

Optometrist in Wake Forest, NC

NPI 1003005562 Organization Optometrist

About HERITAGE EYE CARE, INC

Heritage Eye Care, Inc is a provider established in Wake Forest, North Carolina specializing in optometrist. The NPI number of Heritage Eye Care, Inc is 1003005562 and was assigned on October 2007. The practitioner's primary taxonomy code is 152W00000X with license number 1597 (NC). The provider is registered as an organization and their NPI record was last updated 7 years ago. Heritage Eye Care, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. James Daniel Yoakum Iii O.d. (Owner)

NPI

1003005562

Provider NameHERITAGE EYE CARE, INC
Provider Location Address3211 ROGERS RD STE 100 WAKE FOREST, NC 27587
Provider Mailing Address3211 ROGERS RD STE 100 WAKE FOREST, NC 27587
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-22-2007
Last Update Date01-06-2015


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.1597
License StateNC
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

HERITAGE EYE CARE, INC
3211 ROGERS RD
STE 100
WAKE FOREST, NC
ZIP 27587
Phone: (919) 453-1220

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Mailing Address

HERITAGE EYE CARE, INC
3211 ROGERS RD
STE 100
WAKE FOREST, NC
ZIP 27587
Phone: (919) 453-1220
Fax: (919) 453-1221



Authorized Official

Authorized Official NameDR. JAMES DANIEL YOAKUM III O.D.
Authorized Official TitleOWNER
Authorized Official Phone(919) 453-1220

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
U95353MEDICARE UPIN (02)NC
89093KCMEDICAID (05)NC
2349297MEDICARE PIN (08)NC

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780753244ORELLANA RETINA ASSOCIATES PLLC
Organization
Ophthalmology3211 ROGERS RD SUITE 101
WAKE FOREST, NC 27587
(919) 453-1462
1235468513RETINA INSTITUTE OF NORTH CAROLINA, PC
Organization
Ophthalmology3211 ROGERS RD STE 101
WAKE FOREST, NC 27587
(919) 453-1462
1033554217BELLA DERMA SPA
Organization
Health Maintenance Organization3211 ROGERS RD SUITE 101
WAKE FOREST, NC 27587
(919) 862-4459
1962464289 JAMES DANIEL YOAKUM III O.D.
Individual
Optometrist3211 ROGERS RD STE 100
WAKE FOREST, NC 27587
(919) 453-1220

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.