MIDWAY OPTOMETRIC EYE CARE, P.A.
NPI 1124330535
Optometrist in Winston Salem, NC

Active since July 14, 2010CLIA 34D2128503 · Waiver
11362 OLD US HIGHWAY 52, WINSTON SALEM, NC 27107(336) 764-2449(336) 764-4156 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Midway Optometric Eye Care, P.a. NPPES

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

MIDWAY OPTOMETRIC EYE CARE, P.A. (NPI 1124330535) is a healthcare organization registered as an optometrist in Winston Salem, North Carolina and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Carl David Sasser, Owner, as its authorized official.

NPPES Registry Identity

NPI1124330535
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMIDWAY OPTOMETRIC EYE CARE, P.A.
Location Address11362 OLD US HIGHWAY 52Winston Salem, NC 27107-9841
Mailing Address11362 Old Us Highway 52Winston Salem, NC 27107-9841 · (336) 764-2449 · Fax (336) 764-4156
Fax(336) 764-4156
Organization SubpartNo
Authorized OfficialCarl David SasserOwner · (336) 764-2449
Enumeration DateJuly 14, 2010
Last NPPES UpdateJuly 30, 2010
NPI 1124330535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 1090
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.

11362 OLD US HIGHWAY 52, Winston Salem, NC 27107

Other Identifiers 4

Medicaid8909807NC
Medicare UPINT64937NC
Medicare PIN246400BNC
Other0827850001Dmerc/palmetto

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2128503

Midway · Winston-Salem, NC
Active · expires Mar 30, 2027
CLIA Number34D2128503
Laboratory TypeSupervised Adult Facility
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorMichael Headen
Laboratory Phone(336) 224-2923
Laboratory LocationMidway12518 Old Highway 52 North, Winston-Salem, NC 27107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Optometrist
11362 OLD US HIGHWAY 52
WINSTON SALEM, NC 27107

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 Midway Optometric Eye Care, P.A.'s NPI number?

The NPI number for Midway Optometric Eye Care, P.A. is 1124330535. It was assigned to this organization in the NPPES registry on July 14, 2010.

Where is Midway Optometric Eye Care, P.A. located?

Midway Optometric Eye Care, P.A. is located at 11362 Old Us Highway 52, Winston Salem, NC 27107. The listed phone number is (336) 764-2449.

What is Midway Optometric Eye Care, P.A.'s specialty?

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

Does Midway Optometric Eye Care, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2128503) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midway Optometric Eye Care, P.A. was last updated on July 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.