WINSTON EYE ASSOCIATES OD PA NPI 1699810986

Optometrist in Winston Salem, NC

Organization Optometrist

About WINSTON EYE ASSOCIATES OD PA

Winston Eye Associates Od Pa is a provider established in Winston Salem, North Carolina specializing in optometrist. The NPI number of Winston Eye Associates Od Pa is 1699810986 and was assigned on February 2007. The practitioner's primary taxonomy code is 152W00000X with license number ========= (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. Winston Eye Associates Od Pa 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. John M. Burke O.d. (Vice-president)

NPI

1699810986

Provider NameWINSTON EYE ASSOCIATES OD PA
Provider Location Address2630 PETERS CREEK PKWY WINSTON SALEM, NC 27127
Provider Mailing Address2630 PETERS CREEK PKWY WINSTON SALEM, NC 27127
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-21-2007
Last Update Date06-23-2010

Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.=========
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

WINSTON EYE ASSOCIATES OD PA
2630 PETERS CREEK PKWY
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 785-3486
Fax: (336) 785-3002

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Mailing Address

WINSTON EYE ASSOCIATES OD PA
2630 PETERS CREEK PKWY
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 785-3486
Fax: (336) 785-3002

Authorized Official

Authorized Official NameDR. JOHN M. BURKE O.D.
Authorized Official TitleVICE-PRESIDENT
Authorized Official Phone(336) 785-3486

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
0294140003MEDICARE NSC (07)NC
8909985MEDICAID (05)NC
410034342OTHER (01)NC
2467300MEDICARE PIN (08)NC
09985OTHER (01)NC

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427599802EYECARECENTER OD PA
Organization
Optometrist2630 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
(636) 200-4393
1578582383 DAVID HOLT FREEMAN O.D.
Individual
Optometrist2630 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
(336) 785-3486
1700888492DR. JOHN MICHAEL BURKE O.D.
Individual
Optometrist2630 PETERS CREEK PKWY
WINSTON-SALEM, NC 27127
(336) 785-3486
1972096345DR. SHRAEYA MEHTA OD
Individual
Optometrist2630 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
(336) 785-3486
1982890398DR. DARREN C. DECKER O.D.
Individual
Optometrist2630 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
(336) 785-3486

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.