EYECARECENTER OD PA (NPI# 1184165607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184165607 |
| Entity Type | Organization |
| Organization Name | EYECARECENTER OD PA |
| Practice Address |
5121 Reidsville Rd Walkertown NC 27051-9770 |
| Mailing Address |
Po Box 207261 Dallas TX 75320-7261 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 3365956277 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | DR. KENNETH ALLEN GREGG (OWNER) |
| Authorized Official Telephone | 2524515324 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | SUPPLIER NUMBER | 02226800040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388326 | Eyecarecenter Od Pa | Optometrist | 128 N Park St, Asheboro, NC 27203-5440 | 2020-02-19 |
| 1649759341 | Eyecarecenter Od Pa | Optometrist | 275 E King St Ste A, Boone, NC 28607-5504 | 2018-08-13 |
| 1669905634 | Eyecarecenter Od Pa | Optometrist | 119 E Hargett St, Raleigh, NC 27601-1579 | 2017-04-06 |
| 1346781721 | Eyecarecenter Od Pa | Optometrist | 1575 Nc Highway 66 S, Kernersville, NC 27284-3516 | 2017-03-17 |
| 1154739563 | Eyecarecenter Od Pa | Optometrist | 190 Independance Ave, Suite A, North Wilkesboro, NC 28659-4217 | 2014-07-29 |
| 1033371414 | Eyecarecenter Od Pa | Optometrist | 1127 Military Cutoff Rd Ste C, Wilmington, NC 28405-3682 | 2008-06-27 |
| 1376582239 | Eyecarecenter Od Pa | Optometrist | 3001 Raleigh Road Pkwy W, Wilson, NC 27896-8213 | 2006-06-06 |
| 1003861212 | Eyecarecenter Od Pa | Optometrist | 4130 Western Blvd, Jacksonville, NC 28546-6740 | 2006-05-24 |
| 1932152964 | Eyecarecenter Od Pa | Optometrist | 1007a Skyway Dr, Monroe, NC 28110-3042 | 2006-05-19 |
| 1902859952 | Eyecarecenter Od Pa | Optometrist | 1813 W Ehringhaus St, Elizabeth City, NC 27909-4555 | 2006-05-19 |
| Street Address |
5121 REIDSVILLE RD |
| City | WALKERTOWN |
| State | NC |
| Zip Code | 27051-9770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285081 | Teresa Matos | Technician | 2625 Celeste Rd, Walkertown, NC 27051 | 2014-04-10 |
| 1467876961 | Forsyth Medical Group, LLC | Pediatrics | 3431 Walkertown Commons Drive, Walkertown, NC 27051 | 2014-02-05 |
| 1639331747 | Total Companion Care Inc | In Home Supportive Care | 3767 Day Rd, N/a, Walkertown, NC 27051 | 2008-06-30 |
| 1821110073 | Daniel Ian Mushinski | Specialist/Technologist | 4764 Beacon Park Ln., Walkertown, NC 27051 | 2007-04-06 |
| 1437284445 | Winston Eye Associates Od Pa | Optometrist | 2741 Old Hollow Rd. Hwy 66, Walkertown, NC 27051 | 2007-02-22 |
| 1336668334 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3015 Old Hollow Rd, Walkertown, NC 27051 | 2017-09-12 |
| 1508296179 | Kristina Coles | Social Worker | 2989 Mirasol Ct, Walkertown, NC 27051-9019 | 2013-11-19 |
| 1407386907 | Kenyetta Hardy | Social Worker | 2811 Darrow Rd, Walkertown, NC 27051-9206 | 2017-06-15 |
| 1205839248 | James John Hollandsworth | Family Medicine | 2800 Darrow Rd, Walkertown, NC 27051-9206 | 2005-05-23 |
| 1063733814 | Novant Medical Group, Inc | Family Medicine | 2800 Darrow Rd, Walkertown, NC 27051-9206 | 2010-06-16 |
| Find all providers in zip 27051 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437284445 | Winston Eye Associates Od Pa | Optometrist | 2741 Old Hollow Rd. Hwy 66, Walkertown, NC 27051 | 2007-02-22 |
| 1013052596 | Carrie Weaver | Optometrist | 2741 Old Hollow Rd, Walkertown, NC 27051-9529 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566777 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 2145 Hendersonville Rd Ste D, Arden, NC 28704-9724 | 2020-10-20 |
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1609400381 | Idealeyes, O.d., Pllc | Optometrist | 905 Boyer Dr, Clemmons, NC 27012-9476 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | WALKERTOWN |
| Zip Code | 27051 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.