BUENA VISTA EYE PC (NPI# 1720069693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720069693 |
| Entity Type | Organization |
| Organization Name | BUENA VISTA EYE PC |
| Practice Address |
1214 Reynolda Rd Suite A Winston Salem NC 27104-1122 |
| Practice Telephone | 3367232555 |
| Practice Fax Number | 3367239007 |
| Mailing Telephone | 3367232555 |
| Mailing Fax Number | 3367239007 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | MRS. AMY BARTA WALL (PRESIDENT) |
| Authorized Official Telephone | 3367232555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 9800734 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 012T3 | 01 |
| NC | 89012T3 | 05 |
| Street Address |
1214 REYNOLDA RD SUITE A |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922297654 | Amy Barta Wall | Ophthalmology | 1214 Reynolda Rd, Suite A, Winston Salem, NC 27104-1151 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| 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 |
|---|---|---|---|---|
| 1821380874 | Margaret A Greven | Ophthalmology | Medical Center Blvd Dept of Ophthalmology, Winston Salem, NC 27157-3216 | 2011-05-10 |
| 1851531602 | Henry W Burnett, M.d., P.a. | Ophthalmology | 110 Oakwood Dr, Suite 380, Winston Salem, NC 27103-1957 | 2009-03-05 |
| 1770721565 | The Center for Sight, Pllc | Ophthalmology | 4964 University Pkwy Ste 105, Winston Salem, NC 27106-2800 | 2009-02-02 |
| 1922281385 | Chanda A. Griessel M.d., Pllc | Ophthalmology | 150 Kimel Park Dr, Suite 200, Winston Salem, NC 27103-6992 | 2007-12-07 |
| 1700097060 | Susanna S Ringeman | Ophthalmology | 2827 Lyndhurst Ave Ste 204, Winston Salem, NC 27103-4145 | 2007-05-25 |
| 1376682344 | Mark H Nelson Md Pa | Ophthalmology | 750 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7105 | 2007-02-06 |
| 1891831905 | Willard L Mccloud Jr. | Ophthalmology | 620 Dunleith Ave, Winston Salem, NC 27101-3374 | 2007-01-29 |
| 1023192911 | Frank Moya | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-10-25 |
| 1306856703 | Chanda Annette Griessel | Ophthalmology | 150 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6992 | 2006-08-08 |
| 1598729147 | Hawthorne Eye Associates, P.a. | Ophthalmology | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2006-04-12 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.