MRS. SALLIE MITCHELL WAHL (NPI# 1285661728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285661728 |
| Entity Type | Individual |
| Full Name | MRS. SALLIE MITCHELL WAHL |
| Credential | OD PC |
| Practice Address |
515 N Spence Ave Goldsboro NC 27534 |
| Practice Telephone | 9197787110 |
| Practice Fax Number | 9197786057 |
| Mailing Telephone | 9197787110 |
| Mailing Fax Number | 9197786057 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1961 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 9024C | 01 |
| NC | MEDICARE RAILROAD | DA3706 | 01 |
| NC | 899024C | 05 |
| Street Address |
515 N SPENCE AVE |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557007 | William Earl Mitchell | Optometrist | 515 N Spence Ave, Goldsboro, NC 27534-4261 | 2005-06-10 |
| 1518290659 | Anthony Joel Woolet | Optometrist | 515 N Spence Ave, Goldsboro, NC 27534-4261 | 2009-09-08 |
| 1710085188 | Alex Michael Wahl | Optometrist | 515 N Spence Ave, Goldsboro, NC 27534-4261 | 2006-09-20 |
| 1932103553 | Freddie Lamont Mitchell | Optometrist | 515 N Spence Ave, Goldsboro, NC 27534-4261 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| 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 |
|---|---|---|---|---|
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1982974614 | Parker Family Eye Care, Od, Pllc | Optometrist | 1299 Parkway Dr Ste F, Goldsboro, NC 27534-3491 | 2012-01-11 |
| 1669780862 | Lindsay Schafer Statsick | Optometrist | Atlantic Eye Optometric Services, Pa, 2803 Cashwell Dr Suite A, Goldsboro, NC 27534-4301 | 2010-09-22 |
| 1407162043 | Kenneth Richard Statsick | Optometrist | 2803 Cashwell Dr, Ste A, Goldsboro, NC 27534-4301 | 2010-08-20 |
| 1083884951 | William R Easterling Optometrist Pa | Optometrist | 201 W Ash Street, Ste 7, Goldsboro, NC 27530-3665 | 2008-03-07 |
| 1528247327 | Haley S Parker | Optometrist | 1318 Wayne Memorial Dr Ste C, Goldsboro, NC 27534-2255 | 2007-10-29 |
| 1801933221 | Lindsay M Herring | Optometrist | 509 N Spence Ave, Goldsboro, NC 27534-4261 | 2007-02-01 |
| 1932299963 | Thomas Gibson Blackman | Optometrist | 208 N Spence Ave, Goldsboro, NC 27534-4318 | 2006-10-13 |
| 1073549051 | Edwin L Adams | Optometrist | 1318 Wayne Memorial Dr, Suite C, Goldsboro, NC 27534-2255 | 2006-06-23 |
| 1083607824 | William Ross Easterling | Optometrist | 201 W Ash St, Suite 7, Goldsboro, NC 27530-3665 | 2005-08-26 |
| Find all providers in GOLDSBORO | ||||
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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.