KNIGHTDALE EYECARE OPTOMETRIC, P.A. (NPI# 1255491528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255491528 |
| Entity Type | Organization |
| Organization Name | KNIGHTDALE EYECARE OPTOMETRIC, P.A. |
| Practice Address |
742 Mcknight Dr Suite 100 Knightdale NC 27545-7764 |
| Practice Telephone | 9192662048 |
| Practice Fax Number | 9192664648 |
| Mailing Telephone | 9192662048 |
| Mailing Fax Number | 9192664648 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | DR. TIMOTHY JOHN POIRIER (OWNER) |
| Authorized Official Telephone | 9192662048 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1646 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 410034712 | 01 |
| Street Address |
742 MCKNIGHT DR SUITE 100 |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-7764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730444217 | Alexander Resilience, Inc. | Community/Behavioral Health | 742 Mcknight Dr, Suite 225, Knightdale, NC 27545-7764 | 2012-07-10 |
| 1053635037 | Sonja K Martin | Counselor | 742 Mcknight Dr, Suite 200, Knightdale, NC 27545-7764 | 2010-03-20 |
| 1104153485 | Avery Youth Services for Boys, Inc. | Case Management | 742 Mcknight Dr, Suite 201, Knightdale, NC 27545-7764 | 2009-11-08 |
| 1205063138 | Communication 360 LLC | Speech-Language Pathologist | 742 Mcknight Dr, Suite 221, Knightdale, NC 27545-7764 | 2009-06-18 |
| 1538316112 | Jonathan M Lutz | Optometrist | 742 Mcknight Dr, Suite 100, Knightdale, NC 27545-7764 | 2008-08-26 |
| 1245389279 | Opal Dionne Williams | Speech-Language Pathologist | 742 Mcknight Dr, Suite 221, Knightdale, NC 27545-7764 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295132520 | Jingya Jeanne Chen | Optometrist | 1600 Highwoods Blvd, Greensboro, NC 27410-2048 | 2014-12-02 |
| 1528313301 | Bunich Optometric Clinic Pllc | Optometrist | 1820 East Blvd., Charlotte, NC 28203 | 2012-07-18 |
| 1972868420 | Advance Eyecare Associates, O.d., P.a. | Optometrist | 15235 John J Delaney Dr Ste H, Charlotte, NC 28277-2959 | 2012-07-11 |
| 1306083803 | Ahoskie Eye Care Od Pa Dba Windsor Eye Care | Optometrist | 106 N King Street, Windsor, NC 27983-6863 | 2009-01-21 |
| 1104018134 | Professional Eye Associates Optometry,p.a. | Optometrist | 8821 Six Forks Road, Raleigh, NC 27614 | 2007-08-14 |
| 1902007131 | Hiten P Prajapati | Optometrist | 1101 Shiloh Glenn Dr, Morrisville, NC 27560-5419 | 2007-05-28 |
| 1689896003 | Davis Eye Associates Od, Pa | Optometrist | 4514 Oleander Dr, Family Vision Clinic, Wilmington, NC 28403-5012 | 2007-05-03 |
| 1386866762 | Tunnel Road Optometry Group | Optometrist | 3702 W Gate City Blvd, Advanced Eye Care, Greensboro, NC 27407-4628 | 2007-05-03 |
| 1083834931 | Samuel Huntington Templeman IIi | Optometrist | 214 Church St Nw, Lenoir, NC 28645-5117 | 2007-04-25 |
| 1780798827 | Leslie M Anderson Od Pa | Optometrist | 11235 Lawyers Rd, Charlotte, NC 28227-9355 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
Please comment or provide details below to improve the information on KNIGHTDALE EYECARE OPTOMETRIC, P.A..
| 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.