NORTH CAROLINA EYE EAR NOSE & THROAT, PA (NPI# 1598853178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598853178 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA EYE EAR NOSE & THROAT, PA |
| Other Organization Name | NORTH CAROLINA EYE EAR NOSE & THROAT OF NORTH RALEIGH |
| Practice Address |
8300 Health Park Suite 229 Raleigh NC 27615 |
| Mailing Address |
4102 N Roxboro St Durham NC 27704-2122 |
| Practice Telephone | 9195952143 |
| Practice Fax Number | 9195952186 |
| Mailing Telephone | 9195952000 |
| Mailing Fax Number | 9195952186 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER L WHITEHEAD (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9195952143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| X | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Carolina Eye Ear Nose & Throat of North Raleigh | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528156106 | North Carolina Eye Ear Nose & Throat, Pa | Ophthalmology | 1110 S E Cary Parkway, Suite 100, Cary, NC 27518-7410 | 2006-10-10 |
| Street Address |
8300 HEALTH PARK SUITE 229 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053396705 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8300 Health Park, Ste 223, Raleigh, NC 27615-4730 | 2005-12-14 |
| 1730533662 | Ann Marie Dougherty | Dietitian, Registered | 8300 Health Park, Ste 325, Raleigh, NC 27615-4730 | 2016-04-18 |
| 1972967628 | Triangle Orthopaedic Associates, Pa | Durable Medical Equipment & Medical Supplies | 8300 Health Park, Suite 109, Raleigh, NC 27615-4730 | 2016-04-08 |
| 1447610134 | Vidhya Bhat | Specialist/Technologist | 8300 Health Park, Suite 107, Raleigh, NC 27615-4730 | 2016-02-24 |
| 1639552631 | Brittany Kay Torres | Physical Therapist | 8300 Health Park, Suite 127, Raleigh, NC 27615-4730 | 2015-07-08 |
| 1760884605 | William Stanley Renkas | Physical Therapist | 8300 Health Park, Suite 127, Raleigh, NC 27615-4730 | 2014-09-23 |
| 1639588288 | Matthew Wertman | Physical Therapist | 8300 Health Park, Suite 127, Raleigh, NC 27615-4730 | 2014-08-07 |
| 1003228081 | Courtney Fletcher | Physical Therapist | 8300 Health Park, Suite 127, Raleigh, NC 27615-4730 | 2014-05-27 |
| 1407279243 | Jessica Goff | Dietitian, Registered | 8300 Health Park, Ste 325, Raleigh, NC 27615-4730 | 2014-01-30 |
| 1508287822 | Child and Family Psychiatry Pllc | Psychiatry & Neurology | 8300 Health Park, 201, Raleigh, NC 27615-4730 | 2014-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235001 | Capital Eye Center | Ophthalmology | 720 West Jones St, Raleigh, NC 27612 | 2014-08-05 |
| 1568882389 | James Constans | Ophthalmology | 2709 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6462 | 2014-04-19 |
| 1215236419 | Pradeep Mettu | Ophthalmology | 4201 Lake Boone Trl Ste 103, Raleigh, NC 27607 | 2011-03-28 |
| 1427360783 | Lindsay Elise Adam | Ophthalmology | 2709 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6462 | 2010-07-02 |
| 1487985248 | New Century Ophthalmology Group, Pllc | Ophthalmology | 5720 Creedmoor Rd Ste 101, Raleigh, NC 27612-2382 | 2010-01-19 |
| 1457499089 | Franklin Li | Ophthalmology | 2406 Blue Ridge Rd Ste 280, Raleigh, NC 27607-6680 | 2007-02-03 |
| 1770632564 | Koury Eye Clinic, LLC | Ophthalmology | 8305 Wycombe Ln, Raleigh, NC 27615-3036 | 2007-01-09 |
| 1225195142 | North Raleigh Ophthalmology, P.a. | Ophthalmology | 1422 East Millbrook Road, Raleigh, NC 27609-5179 | 2007-01-02 |
| 1568536563 | Mccormick Ophthalmology Pa | Ophthalmology | 8015 Creedmoor Rd, Suite 201, Raleigh, NC 27613-4397 | 2006-11-20 |
| 1972698439 | Albert Rogers Munn IIi | Ophthalmology | Capital Eye Center, 720 W Jones St, Raleigh, NC 27603-1427 | 2006-10-03 |
| Find all providers in RALEIGH | ||||
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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.