NANCY M. MACKOWSKY (NPI# 1285615302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285615302 |
Entity Type | Individual |
Full Name | NANCY M. MACKOWSKY |
Credential | OD |
Practice Address |
4201 Lake Boone Trl Suite 104 Raleigh NC 27607-7512 |
Practice Telephone | 9199440195 |
Practice Fax Number | 9199440085 |
Mailing Telephone | 9199440195 |
Mailing Fax Number | 9199440085 |
Enumeration Date | 2005-11-07 |
Last Update Date | 2010-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 1571 | NC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS PROV # | 0936C | 01 |
NC | 890936C | 05 |
Street Address |
4201 LAKE BOONE TRL SUITE 104 |
City | RALEIGH |
State | NC |
Zip Code | 27607-7512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
1699383034 | Sarah Olivia Varner | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2020-07-22 |
1700445707 | Courtney Lynn Race | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2019-06-12 |
1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
1891145355 | Anna Lawrence | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-15 |
1629427836 | Christine A Halstead | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-08 |
1700231156 | Megan Puryear | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607 | 2016-05-03 |
1710345913 | Carly Kohler | Occupational Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-02-02 |
1780064105 | Samantha Vrooman | Audiologist | 4201 Lake Boone Trl, Suite 105, Raleigh, NC 27607-7512 | 2015-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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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 |
---|---|---|---|---|
1518507904 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 4905 Green Rd Ste 107b, Raleigh, NC 27616-2805 | 2020-01-14 |
1194371070 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1100 Mercantile Dr, Ste 130, Raleigh, NC 27609-7498 | 2019-08-15 |
1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
1669905634 | Eyecarecenter Od Pa | Optometrist | 119 E Hargett St, Raleigh, NC 27601-1579 | 2017-04-06 |
1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
1578989125 | Charles C Wiggins Od Pllc | Optometrist | 8500 Glenlake Ct, Raleigh, NC 27606-9369 | 2014-03-06 |
1386080349 | Good Looks, Od, Pa | Optometrist | 8511 Colonnade Center Dr, Suite 100, Raleigh, NC 27615-3066 | 2013-05-17 |
1205270659 | Dennis Garcia, O.d., P.l.l.c. | Optometrist | 13251 Falls of Neuse Rd, Suite 121, Raleigh, NC 27614-8572 | 2013-04-28 |
1245580984 | Yewande Olateju Alonge | Optometrist | 6212 Glenwood Ave Ste 101, Raleigh, NC 27612-2657 | 2012-09-10 |
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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.