EYECARECENTER OD PA (NPI# 1427006188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427006188 |
| Entity Type | Organization |
| Organization Name | EYECARECENTER OD PA |
| Practice Address |
775 W Corbett Ave Swansboro NC 28584-8453 |
| Mailing Address |
Po Box 207261 Dallas TX 75320-7261 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 9103267088 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | DR. KENNETH ALLAN GREGG (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2524515324 |
| 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 | 1427006188 | 05 | |
| NC | SUPPLIER NUMBER | 0222680034 | 01 |
| NC | RAILROAD MEDICARE | DB4108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388326 | Eyecarecenter Od Pa | Optometrist | 128 N Park St, Asheboro, NC 27203-5440 | 2020-02-19 |
| 1649759341 | Eyecarecenter Od Pa | Optometrist | 275 E King St Ste A, Boone, NC 28607-5504 | 2018-08-13 |
| 1669905634 | Eyecarecenter Od Pa | Optometrist | 119 E Hargett St, Raleigh, NC 27601-1579 | 2017-04-06 |
| 1346781721 | Eyecarecenter Od Pa | Optometrist | 1575 Nc Highway 66 S, Kernersville, NC 27284-3516 | 2017-03-17 |
| 1184165607 | Eyecarecenter Od Pa | Optometrist | 5121 Reidsville Rd, Walkertown, NC 27051-9770 | 2017-03-16 |
| 1154739563 | Eyecarecenter Od Pa | Optometrist | 190 Independance Ave, Suite A, North Wilkesboro, NC 28659-4217 | 2014-07-29 |
| 1033371414 | Eyecarecenter Od Pa | Optometrist | 1127 Military Cutoff Rd Ste C, Wilmington, NC 28405-3682 | 2008-06-27 |
| 1376582239 | Eyecarecenter Od Pa | Optometrist | 3001 Raleigh Road Pkwy W, Wilson, NC 27896-8213 | 2006-06-06 |
| 1003861212 | Eyecarecenter Od Pa | Optometrist | 4130 Western Blvd, Jacksonville, NC 28546-6740 | 2006-05-24 |
| 1932152964 | Eyecarecenter Od Pa | Optometrist | 1007a Skyway Dr, Monroe, NC 28110-3042 | 2006-05-19 |
| Street Address |
775 W CORBETT AVE |
| City | SWANSBORO |
| State | NC |
| Zip Code | 28584-8453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891759924 | Lisa M Try | Optometrist | 775 W Corbett Ave, Swansboro, NC 28584-8562 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373562 | Haldis Andersen | Dentist | 202 Mclean Blvd, Cape Carteret, NC 28584 | 2018-04-08 |
| 1740736560 | Savannah Corey | Social Worker | 20 Creekside Woods Drive, Swansboro, NC 28584 | 2016-08-31 |
| 1780919498 | Hunter Creech Brown | Pharmacist | 319 W.b.mclean Dr., Cape Carteret, NC 28584 | 2009-10-14 |
| 1518139807 | Julie E. Marion | Counselor | 624-2 W Corbett Ave, Crystal Coast Counseling, Swansboro, NC 28584 | 2008-03-27 |
| 1174795462 | Crystal Coast Counseling, Pllc | Counselor | 624-2 West Corbett Ave, Swansboro, NC 28584 | 2008-03-27 |
| 1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
| 1750485165 | Anderson and Slack and Associates | Dentist | 718a West Corbett Ave, Swansboro, NC 28584 | 2006-09-08 |
| 1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1912017013 | Gina C Mancini | Dentist | 718 A West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1962512368 | Doris J Black | Dentist | 200 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| Find all providers in zip 28584 | ||||
| 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 |
|---|---|---|---|---|
| 1639137045 | Tina M Siegel | Optometrist | 775 W Corbett Ave Ste 1, Swansboro, NC 28584-8453 | 2006-05-03 |
| 1891759924 | Lisa M Try | Optometrist | 775 W Corbett Ave, Swansboro, NC 28584-8562 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566777 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 2145 Hendersonville Rd Ste D, Arden, NC 28704-9724 | 2020-10-20 |
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1609400381 | Idealeyes, O.d., Pllc | Optometrist | 905 Boyer Dr, Clemmons, NC 27012-9476 | 2020-03-02 |
| 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.