CARY EYE CENTER OPTOMETRY PA (NPI# 1588704340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588704340 |
| Entity Type | Organization |
| Organization Name | CARY EYE CENTER OPTOMETRY PA |
| Practice Address |
1398 Kildaire Farm Rd Suite 100 Cary NC 27511-5567 |
| Practice Telephone | 9194673238 |
| Practice Fax Number | 9194607776 |
| Mailing Telephone | 9194673238 |
| Mailing Fax Number | 9194607776 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | SUSAN LICATA DURHAM (OPTOMETRIST) |
| Authorized Official Telephone | 9194673238 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1335 | NC | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1335 | NC | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
1335 | NC | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
1335 | NC | Eye and Vision Services Providers |
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1335 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | VBA | NC9335 | 01 |
| NC | MAMSI | 543199 | 01 |
| NC | BLUE CROSS BLUE SHIELD | 0917N | 01 |
| NC | UNITED HEALTH CARE | 2253547 | 01 |
| NC | RAILROAD MEDICARE | 410036278 | 01 |
| NC | 890971N | 05 | |
| NC | TRICARE | 083568695 | 01 |
| NC | AVESIS | 5910 | 01 |
| NC | PARTNERS | B729 | 01 |
| Street Address |
1398 KILDAIRE FARM RD SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27511-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790730158 | Ryan Michael Beyer | Optometrist | 1398 Kildaire Farm Rd, Suite 100, Cary, NC 27511-5567 | 2006-05-24 |
| 1750756342 | Angelina Marie Scaramuzzo | Optometrist | 1398 Kildaire Farm Rd, Cary, NC 27511 | 2015-12-08 |
| 1396171724 | Lane and Associates Xxviii, Dds, Pa | Dentist | 1398 Kildaire Farm Rd, Suite 300, Cary, NC 27511-5567 | 2013-09-17 |
| 1003083585 | Toni Kay Mascherin | Dentist | 1398 Kildaire Farm Rd, Suite 300, Cary, NC 27511-5567 | 2008-05-13 |
| 1366517161 | Toni Mascherin, D.d.s., P.a. | Dentist | 1398 Kildaire Farm Rd, Suite 300, Cary, NC 27511-5567 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497960736 | Genia Gail Beasley | Optometrist | 6917 Shannon Willow Road, Suite 100, Charlotte, NC 28226 | 2007-05-11 |
| 1255608592 | Hilary Beth Gesford | Optometrist | 1200 Spruce St, Belmont, NC 28012-3370 | 2011-11-30 |
| 1699075093 | Sightwork Doctors of Optometry Pa | Optometrist | 7547 Waterside Loop Rd, Suite C, Denver, NC 28037-7677 | 2010-11-01 |
| 1871741157 | Aaron Bishop Glass | Optometrist | 104 S Main St, Lillington, NC 27546-8968 | 2008-08-28 |
| 1417032616 | Richard Blair Woodard | Optometrist | 610 Jones Ferry Rd, Suite 200, Carrboro, NC 27510-6113 | 2006-10-26 |
| 1417910860 | Lee A Clark Jr. | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| 1265495618 | Lloyd Whitfield Bailey | Optometrist | 3044 Sunset Ave, Rocky Mount, NC 27804-3647 | 2006-04-07 |
| 1457313363 | Milan R Genge | Optometrist | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2788 | 2006-04-05 |
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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.