VISION PARK OPTOMETRY, P.A.
NPI 1104922210
Optometrist in Raleigh, NC

Q: What is Vision Park Optometry, P.A.'s NPI number?

The NPI number for Vision Park Optometry, P.A. is 1104922210. It was assigned to this organization in the NPPES registry on September 15, 2006.

Q: What is Vision Park Optometry, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 15, 2006

8311 BANDFORD WAY, SUITE 105, RALEIGH, NC 27615(919) 870-1880(919) 847-4509 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vision Park Optometry, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION PARK OPTOMETRY, P.A. (NPI 1104922210) is a healthcare organization registered as an optometrist in Raleigh, North Carolina and active in the NPI registry since September 2006. The organization lists Ann Groomer Moore, Optometrist/ Corporate President, as its authorized official.

NPPES Registry Identity

NPI1104922210

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameVISION PARK OPTOMETRY, P.A.

Location Address8311 BANDFORD WAY, SUITE 105Raleigh, NC 27615-2756

Mailing Address8311 Bandford Way, Suite 105Raleigh, NC 27615-2756 · (919) 870-1880 · Fax (919) 847-4509

Phone(919) 870-1880

Fax(919) 847-4509

Organization SubpartNo

Authorized OfficialAnn Groomer MooreOptometrist/ Corporate President · (919) 870-1880

Enumeration DateSeptember 15, 2006

Last NPPES UpdateApril 30, 2008

✔ NPI 1104922210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors 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.

8311 BANDFORD WAY, Raleigh, NC 27615

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Other Identifiers 3

Medicare NSC0483520001NC

Medicare ID-Type Unspecified2468024NC

Other410033568NC · Railroad Medicare

Group Practice 1

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL ABOUT AESTHETICS PC

Clinic/Center (Medical Specialty)

8311 BANDFORD WAY, SUITE 103
RALEIGH, NC 27615

Wake County (919) 845-0333

CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA

Clinic/Center (Primary Care)

8311 BANDFORD WAY, SUITE 007
RALEIGH, NC 27615

Wake County (919) 390-0400

GEORGE JOHN KUCHENREUTHER O.D.

Optometrist

8311 BANDFORD WAY, SUITE 105
RALEIGH, NC 27615

Wake County (919) 870-1880

DR. ROBERT C. JUER M.D.

Family Medicine

8311 BANDFORD WAY, SUITE 007
RALEIGH, NC 27615

Wake County (919) 390-0400

MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC

Optometrist

8311 BANDFORD WAY, SUITE 105
RALEIGH, NC 27615

Wake County (919) 870-1880

DEBORAH KESSLER HUDAK M.D.

Ophthalmology

8311 BANDFORD WAY, SUITE 103
RALEIGH, NC 27615

Wake County (919) 845-0333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vision Park Optometry, P.A.'s NPI number?

The NPI number for Vision Park Optometry, P.A. is 1104922210. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Vision Park Optometry, P.A. located?

Vision Park Optometry, P.A. is located at 8311 Bandford Way Suite 105, Raleigh, NC 27615. The listed phone number is (919) 870-1880.

What is Vision Park Optometry, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Vision Park Optometry, P.A. was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.