CARY OPTOMETRIC, PA (NPI# 1710157623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710157623 |
| Entity Type | Organization |
| Organization Name | CARY OPTOMETRIC, PA |
| Practice Address |
160 Ne Maynard Rd Suite 110 Cary NC 27513 |
| Practice Telephone | 9194397995 |
| Practice Fax Number | 9194150422 |
| Mailing Telephone | 9194397995 |
| Mailing Fax Number | 9194150422 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | DR. MARCIA DETTLOFF (PRESIDENT) |
| Authorized Official Telephone | 9194397995 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1183 | NC | Eye and Vision Services Providers |
| Street Address |
160 NE MAYNARD RD SUITE 110 |
| City | CARY |
| State | NC |
| Zip Code | 27513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434617 | Marcia R Dettloff | Optometrist | 160 Ne Maynard Rd, Suite 110, Cary, NC 27513 | 2005-08-15 |
| 1376021535 | Jessica Mohr | Nurse Practitioner | 160 Ne Maynard Rd, Cary, NC 27513-9670 | 2018-07-31 |
| 1982007928 | Jessica Storm Demotts | Nurse Practitioner | 160 Ne Maynard Rd, Suite 200, Cary, NC 27513-9670 | 2014-10-05 |
| 1598048589 | Stephanie Machalicky | Nurse Practitioner | 160 Ne Maynard Rd, Suite 200, Cary, NC 27513-9670 | 2011-09-26 |
| 1518298736 | Jeff Randall | Psychologist | 160 Ne Maynard Rd, Suite 200, Cary, NC 27513-9670 | 2010-01-28 |
| 1124272828 | Corinne Fisher-laroche | Social Worker | 160 Ne Maynard Rd, Suite 200, Cary, NC 27513-9670 | 2008-11-07 |
| 1366695306 | Mary E Emerson | Social Worker | 160 Ne Maynard Rd, Suite 200, Cary, NC 27513-9670 | 2008-11-03 |
| 1073561692 | Bell Family Chiropractic Center Pa | Chiropractor | 160 Ne Maynard Rd, Suite 204, Cary, NC 27513-9670 | 2006-05-05 |
| 1487639522 | Debra Bell | Chiropractor | 160 Ne Maynard Rd, Suite 204, Cary, NC 27513-9670 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| 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 |
|---|---|---|---|---|
| 1568092641 | National Vision Inc | Optometrist | 2003 Walnut St, Cary, NC 27518-9205 | 2020-01-17 |
| 1861959967 | Monica Alice Tadros | Optometrist | 412 All Saints Pl, Cary, NC 27513-6196 | 2019-02-25 |
| 1437407095 | Amy Lin Kasper | Optometrist | 570 New Waverly Pl Ste 110, Cary, NC 27518-7405 | 2012-08-29 |
| 1609177120 | Michelle Ginah Yun | Optometrist | 1212 Parkside Main St, Cary, NC 27519-6951 | 2010-11-15 |
| 1518131937 | Cary Family Eye Care, O.d., P.a. | Optometrist | 1110 Green Level To Durham Rd, Suite 102, Cary, NC 27519 | 2008-04-16 |
| 1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
| 1164526547 | Eye Care Associates Od Pa | Optometrist | 2075 Renaissance Park Pl, Cary, NC 27513-2263 | 2006-09-07 |
| 1174532840 | Avery Neal Shulman | Optometrist | 155 Park Ave Ste B, Cary, IL 60013-2793 | 2006-08-05 |
| 1144236316 | William Mcduffy Skeen | Optometrist | 1105 Walnut St, Cary, NC 27511 | 2006-07-31 |
| 1699791228 | Canting Optometry, Pllc | Optometrist | 516 Optical Lane, Cary, NC 27513 | 2006-07-15 |
| Find all providers in CARY | ||||
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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.