ACTIVE LIFE EYE CARE, OD, PA
NPI 1740663855
Optometrist in Madison, NC

Q: What is Active Life Eye Care, Od, PA's NPI number?

The NPI number for Active Life Eye Care, Od, PA is 1740663855. It was assigned to this organization in the NPPES registry on July 7, 2015.

Q: What is Active Life Eye Care, Od, PA's specialty?

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

Active since July 07, 2015

415 W ACADEMY ST, MADISON, NC 27025(336) 404-6235 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Active Life Eye Care, Od, Pa NPPES

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

ACTIVE LIFE EYE CARE, OD, PA (NPI 1740663855) is a healthcare organization registered as an optometrist in Madison, North Carolina and active in the NPI registry since July 2015. The organization lists Brent B. Johnson, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1740663855

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameACTIVE LIFE EYE CARE, OD, PA

Location Address415 W ACADEMY STMadison, NC 27025-2005

Mailing Address415 W Academy StMadison, NC 27025-2005 · (336) 404-6235

Phone(336) 404-6235

Organization SubpartNo

Authorized OfficialBrent B. JohnsonOptometrist · (336) 404-6235

Enumeration DateJuly 7, 2015

Last NPPES UpdateJanuary 11, 2016

✔ NPI 1740663855 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.

415 W ACADEMY ST, Madison, NC 27025

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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

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 Active Life Eye Care, Od, PA's NPI number?

The NPI number for Active Life Eye Care, Od, PA is 1740663855. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Active Life Eye Care, Od, PA located?

Active Life Eye Care, Od, PA is located at 415 W Academy St, Madison, NC 27025. The listed phone number is (336) 404-6235.

What is Active Life Eye Care, Od, PA'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 Active Life Eye Care, Od, PA was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.