LEON BYRUM OPTICIANS INC (NPI# 1629287867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629287867 |
| Entity Type | Organization |
| Organization Name | LEON BYRUM OPTICIANS INC |
| Practice Address |
600 A Wade Ave Raleigh NC 27605-3121 |
| Practice Telephone | 9198323927 |
| Practice Fax Number | 9198320538 |
| Mailing Telephone | 9198323927 |
| Mailing Fax Number | 9198320538 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES ALLEN DAUGHTRIDGE (PRESIDENT) |
| Authorized Official Telephone | 9198323927 |
| Authorized Official Credential | LICENSED OPTICIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
B0211 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8801643 | 05 |
| Street Address |
600 A WADE AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881167807 | National Vision Inc | Technician/Technologist | 4434 Fayetteville Rd Ste 11, Raleigh, NC 27603-3612 | 2019-01-03 |
| 1467810580 | Professional Opticians of Raleigh, Inc. | Technician/Technologist | 8821 Six Forks Rd, Raleigh, NC 27615-2970 | 2016-02-03 |
| 1427463777 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6451 Triangle Plantation Dr, Raleigh, NC 27616-5899 | 2014-06-25 |
| 1831437482 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6212 Glenwood Ave, Suite 101, Raleigh, NC 27612-2657 | 2013-01-16 |
| 1629328950 | George Gregor Owen | Technician/Technologist | 4209 Lassiter Mill Rd, Suite 110, Raleigh, NC 27609-5794 | 2012-09-13 |
| 1851683262 | Rosanna Canario | Technician/Technologist | 5444 Daleview Dr, Raleigh, NC 27610-1591 | 2011-05-04 |
| 1619277365 | Wal-mart Stores East Lp | Technician/Technologist | 8000 Town Drive, Raleigh, NC 27616 | 2010-10-28 |
| 1396883518 | Doug Clifton | Technician/Technologist | 6325 Falls of Neuse Rd Ste 1, Raleigh, NC 27615-6809 | 2007-02-01 |
| 1952792491 | 20/20 Vision Express | Technician/Technologist | 5444 Daleview Dr, Raleigh, NC 27610-1591 | 2015-02-05 |
| 1780953406 | Philip R Ferrazzo | Technician/Technologist | 8300 Health Park, Suite 131, Raleigh, NC 27615-4730 | 2011-12-27 |
| 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.