EYE CARE ASSOCIATES OD PA (NPI# 1336412071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336412071 |
| Entity Type | Organization |
| Organization Name | EYE CARE ASSOCIATES OD PA |
| Other Organization Name | EYE CARE ASSOCIATES |
| Practice Address |
110 Capcom Ave Wake Forest NC 27587-6531 |
| Mailing Address |
7100 Six Forks Rd Raleigh NC 27615-6156 |
| Practice Telephone | 9195561909 |
| Practice Fax Number | 9195566765 |
| Mailing Telephone | 9198470187 |
| Mailing Fax Number | 9196762231 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2013-02-11 |
| Authorized Official Name | DR. STEPHEN F BOLICK (OWNER/CEO) |
| Authorized Official Telephone | 9198470187 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 025YX | 01 |
| NC | 5920462 | 05 |
| Other Name | Type Code |
|---|---|
| Eye Care Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265704316 | Eye Care Associates Od Pa | Optometrist | 7001 Fayetteville Rd, Suite 105, Durham, NC 27713-9643 | 2012-02-06 |
| 1851578371 | Eye Care Associates Od Pa | Optometrist | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 | 2008-01-28 |
| 1164526547 | Eye Care Associates Od Pa | Optometrist | 2075 Renaissance Park Pl, Cary, NC 27513-2263 | 2006-09-07 |
| 1285692111 | Eye Care Associates Od Pa | Optometrist | 178n Wakelon St, Zebulon, NC 27597-2403 | 2006-05-02 |
| 1871551796 | Eye Care Associates Od Pa | Optometrist | 2024 Cameron St, Raleigh, NC 27605-1311 | 2006-05-02 |
| 1306804232 | Eye Care Associates Od Pa | Optometrist | 1001 Wide Waters Pkwy, Knightdale, NC 27545-7333 | 2006-05-02 |
| 1528400223 | Eye Care Associates Od Pa | Optometrist | 3354 W Friendly Ave, Suite 147, Greensboro, NC 27410-4888 | 2013-07-23 |
| 1710323803 | Eye Care Associates Od Pa | Optometrist | 2013 Olde Regent Way, Suite 260, Leland, NC 28451-4193 | 2013-05-15 |
| 1053650820 | Eye Care Associates Od Pa | Optometrist | 173 Grand Hill Place, Holly Springs, NC 27540 | 2013-02-13 |
| 1700158854 | Eye Care Associates Od Pa | Optometrist | 3101 Shannon Rd, Durham, NC 27707-3571 | 2012-02-06 |
| Street Address |
110 CAPCOM AVE |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508830845 | Village Family Care of Wake Forest Pa | Family Medicine | 110 Capcom Ave, Suite 200, Wake Forest, NC 27587 | 2006-02-14 |
| 1619371903 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 110 Capcom Ave, Wake Forest, NC 27587-6531 | 2014-10-15 |
| 1295069078 | Chad Christopher Raymond Morgan | Optometrist | 110 Capcom Ave, Wake Forest, NC 27587-6531 | 2009-09-25 |
| 1205077468 | Scott A Townsend | Pharmacist | 110 Capcom Ave, Ste 101, Wake Forest, NC 27587-6531 | 2009-03-18 |
| 1841440559 | George Bryan Blalock | Pharmacist | 110 Capcom Ave, Ste 101, Wake Forest, NC 27587-6531 | 2008-09-30 |
| 1295916732 | Wake Forest Family Eye Care, O.d., P.a. | Optometrist | 110 Capcom Ave, Suite 100, Wake Forest, NC 27587-6531 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| 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 |
|---|---|---|---|---|
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1053592386 | Jamie Jones Hanna | Optometrist | 11724 Retail Dr, Wake Forest, NC 27587-7349 | 2007-11-15 |
| 1891730420 | Glenn A, Klaus | Optometrist | 2114 S Main St, Wake Forest, NC 27587-8817 | 2006-06-18 |
| 1962464289 | James Daniel Yoakum IIi | Optometrist | 3211 Rogers Rd, Ste 100, Wake Forest, NC 27587 | 2006-04-03 |
| 1821081282 | Jason Price | Optometrist | 110 Capcom Ave Ste 100, Wake Forest, NC 27587-6531 | 2005-08-31 |
| 1912908872 | Frederic Alan Munz | Optometrist | 12205 Capital Blvd, Wake Forest, NC 27587-6200 | 2005-08-02 |
| 1467820704 | Tyler Stiegemeier | Optometrist | 3150 Rogers Rd, Suite #110, Wake Forest, NC 27587-4195 | 2015-09-03 |
| 1902289630 | Cassandria Warr | Optometrist | 3150 Rogers Rd, Suite 110, Wake Forest, NC 27587-4195 | 2015-06-30 |
| 1619371903 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 110 Capcom Ave, Wake Forest, NC 27587-6531 | 2014-10-15 |
| 1760886279 | Southern Eye Care, O.d., Pllc | Optometrist | 2114 S Main St, Wake Forest, NC 27587-8817 | 2014-10-13 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on EYE CARE ASSOCIATES OD PA.
| 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.