OPTOMETRIC CENTER, P.A. (NPI# 1609068212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609068212 |
Entity Type | Organization |
Organization Name | OPTOMETRIC CENTER, P.A. |
Practice Address |
2900 Croasdaile Dr Durham NC 27705-2579 |
Practice Telephone | 9196832020 |
Practice Fax Number | 9196832020 |
Enumeration Date | 2007-08-16 |
Last Update Date | 2008-03-06 |
Authorized Official Name | BRUCE PATE (DOCTOR) |
Authorized Official Telephone | 9196832020 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 1962 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5901433 | 05 | |
NC | BCBS | 093TX | 01 |
Street Address |
2900 CROASDAILE DR |
City | DURHAM |
State | NC |
Zip Code | 27705-2579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003805565 | Bruce Alan Pate | Optometrist | 2900 Croasdaile Dr, Ste. 6, Durham, NC 27705-2579 | 2005-10-18 |
1770966590 | Samantha Robles | Dentist | 2900 Croasdaile Dr, Suite 1, Durham, NC 27705-2579 | 2015-06-30 |
1790930790 | Jason Winfield Butler | Dentist | 2900 Croasdaile Dr, Suite #5, Durham, NC 27705-2579 | 2008-11-19 |
1275701336 | Wilson Orthodontics | Dentist | 2900 Croasdaile Dr, Suite 3, Durham, NC 27705-2579 | 2008-02-12 |
1386864528 | Michael Jeremy Wilson | Dentist | 2900 Croasdaile Dr, Suite 3, Durham, NC 27705-2579 | 2007-04-30 |
1427121342 | Kenneth L Walker | Dentist | 2900 Croasdaile Dr, St 2, Durham, NC 27705 | 2006-11-16 |
1700973930 | Drs. Turner & Butler Dmd Pa | Dentist | 2900 Croasdaile Dr, Suite 5, Durham, NC 27705-2579 | 2006-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
Find all providers in zip 27705 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1568088672 | Whole Life Chiropractic PC | Clinic/Center | 5410 Page Rd Ste 3, Durham, NC 27703-8230 | 2020-06-24 |
1760901490 | Tonica Johnson, Md, Pllc | Clinic/Center | 3811 N Roxboro St Ste A, Durham, NC 27704-5800 | 2017-09-13 |
1356790471 | Samaritan Health Center, Inc. | Clinic/Center | 3205 University Dr Ste 107, Durham, NC 27707-3770 | 2016-06-09 |
1699183541 | Success In Mind | Clinic/Center | 318 Blackwell St, Suite 130, Durham, NC 27701-2883 | 2014-07-23 |
1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
1043534415 | American Current Care of North Carolina PC | Clinic/Center | 4104 Surles Court, Suite 11, Durham, NC 27703 | 2010-03-15 |
1528253770 | Center for Student Success | Clinic/Center | 324 Blackwell St, Suite 1240, Durham, NC 27707 | 2007-09-11 |
1326501610 | Structure House, LLC | Clinic/Center | 3017 Pickett Rd, Durham, NC 27705-6005 | 2019-04-12 |
1356889554 | Durham Chiropractic Center | Clinic/Center | 1802 Martin Luther King Pkwy Ste 107, Durham, NC 27707-3586 | 2017-02-08 |
Find all providers in DURHAM |
Please comment or provide details below to improve the information on OPTOMETRIC CENTER, P.A..
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.