MORGANTON EYE PHYSICIANS, P.A. (NPI# 1417080342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417080342 |
Entity Type | Organization |
Organization Name | MORGANTON EYE PHYSICIANS, P.A. |
Other Organization Name | EYE SURGERY CENTER OF SHELBY |
Practice Address |
1622 E Marion St Shelby NC 28150-4939 |
Mailing Address |
335 E Parker Rd Morganton NC 28655-5112 |
Practice Telephone | 7044822020 |
Practice Fax Number | 7044827707 |
Mailing Telephone | 8284331000 |
Mailing Fax Number | 8284336274 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-06-11 |
Authorized Official Name | DENNIS W LEE (BUSINESS MANAGER. MEPPA) |
Authorized Official Telephone | 8284331000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS BLUE SHIELD NC | 00602 | 01 |
NC | 3409894 | 05 |
Other Name | Type Code |
---|---|
Eye Surgery Center of Shelby | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073646865 | Morganton Eye Physicians, P.a. | Optometrist | 831 Malcolm Blvd, Rutherford College, NC 28671 | 2007-03-13 |
1174534648 | Morganton Eye Physicians, P.a. | Eyewear Supplier (Equipment, not the service) | 831 Malcolm Boulevard, Optical Department, Rutherford College, NC 28671 | 2006-08-10 |
1023028552 | Morganton Eye Physicians, P.a. | Technician/Technologist | 40 E Medical Ct, Optical Department, Marion, NC 28752-4970 | 2006-08-08 |
1366632473 | Morganton Eye Physicians, P.a. | Optometrist | 419 E Main St, Burnsville, NC 28714-3050 | 2007-07-26 |
1255464244 | Morganton Eye Physicians, P.a. | Optometrist | 640 Oak St, Forest City, NC 28043-3470 | 2007-03-13 |
1730212739 | Morganton Eye Physicians, P.a. | Optometrist | 1622 E Marion St, Shelby, NC 28150-4939 | 2007-03-13 |
1285767129 | Morganton Eye Physicians, P.a. | Nurse Anesthetist, Certified Registered | 1622 E Marion St, Shelby, NC 28150-4939 | 2007-03-13 |
1831222637 | Morganton Eye Physicians, P.a. | Optometrist | 40 E Medical Ct, Marion, NC 28752-4970 | 2007-03-13 |
1407960354 | Morganton Eye Physicians, P.a. | Nurse Anesthetist, Certified Registered | 335 E Parker Rd, Morganton, NC 28655-5112 | 2006-08-18 |
1487664033 | Morganton Eye Physicians, P.a. | Optometrist | 1622 E Marion St, Optical Department, Shelby, NC 28150-4939 | 2006-08-08 |
Street Address |
1622 E MARION ST |
City | SHELBY |
State | NC |
Zip Code | 28150-4939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215941810 | Frank Thomas Hannah | Ophthalmology | 1622 E Marion St, Shelby, NC 28150-4939 | 2006-07-28 |
1730212739 | Morganton Eye Physicians, P.a. | Optometrist | 1622 E Marion St, Shelby, NC 28150-4939 | 2007-03-13 |
1285767129 | Morganton Eye Physicians, P.a. | Nurse Anesthetist, Certified Registered | 1622 E Marion St, Shelby, NC 28150-4939 | 2007-03-13 |
1437216504 | Cecilia Dinkins Weller | Nurse Anesthetist, Certified Registered | 1622 E Marion St, Shelby, NC 28150-4939 | 2007-01-02 |
1487664033 | Morganton Eye Physicians, P.a. | Optometrist | 1622 E Marion St, Optical Department, Shelby, NC 28150-4939 | 2006-08-08 |
1336155746 | Michael Warren Alexander | Optometrist | 1622 E Marion St, Shelby, NC 28150-4939 | 2006-07-31 |
1245246628 | Carol Moss Bridges | Optometrist | 1622 E Marion St, Shelby, NC 28150-4939 | 2006-07-31 |
1487660825 | Marcus Lee Thomas Moss | Optometrist | 1622 E Marion St, Shelby, NC 28150-4939 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
Find all providers in zip 28150 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679570022 | Cleveland Ambulatory Services, LLC | Clinic/Center | 1100 N Lafayette St, Shelby, NC 28150-3837 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
Find all providers with the same taxonomy |
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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.