MEDICAL EYE ASSOCIATES PA (NPI# 1922094895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922094895 |
| Entity Type | Organization |
| Organization Name | MEDICAL EYE ASSOCIATES PA |
| Other Organization Name | WILSON OPTICAL |
| Practice Address |
1707 Medical Park Dr W Ste1 Wilson NC 27893-2768 |
| Practice Telephone | 2522917008 |
| Practice Fax Number | 2522911281 |
| Mailing Telephone | 2522917008 |
| Mailing Fax Number | 2522911281 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | SHAWN C PUTNAM (PARTNER/PRESIDENT) |
| Authorized Official Telephone | 2524436129 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 180641778 | 01 | |
| RAILROAD MCEDICARE | P00720248 | 01 | |
| BC | 12630 | 01 | |
| RR MEDICARE | 180041781 | 01 | |
| RR MEDICARE | 190041779 | 01 | |
| BC | 22680 | 01 | |
| BC | 37986 | 01 | |
| BC | 1180L | 01 | |
| NC | NPI JOHN E THORDSEN | 1073659769 | 01 |
| RR MEDICARE | 180044388 | 01 | |
| BC | 1093V | 01 | |
| RR MEDICARE | 180041942 | 01 |
| Other Name | Type Code |
|---|---|
| Wilson Optical | Doing Business As Name - Organization |
| Street Address |
1707 MEDICAL PARK DR W STE1 |
| City | WILSON |
| State | NC |
| Zip Code | 27893-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124485503 | Sandra Vidacic | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893 | 2016-01-15 |
| 1174586507 | Shawn C Putman | Legal Medicine | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| 1417910860 | Lee A Clark Jr. | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| 1457313363 | Milan R Genge | Optometrist | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2788 | 2006-04-05 |
| 1235191115 | Sharon Fekrat | Ophthalmology | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| 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 |
|---|---|---|---|---|
| 1235191115 | Sharon Fekrat | Ophthalmology | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881145 | Wnc Ophthalmology, Pllc | Ophthalmology | 900 Hendersonville Rd Ste 302, Asheville, NC 28803-1762 | 2020-08-10 |
| 1275154676 | Albemarle Eye Center, Pllc | Ophthalmology | 2511 N Queen St, Kinston, NC 28501-1632 | 2020-04-27 |
| 1518509686 | Bruce Howard Redler | Ophthalmology | 170 Oakanoah Ct, Brevard, NC 28712-8485 | 2019-10-10 |
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1285177014 | Carolina Eye Associates, Inc | Ophthalmology | 310 N. Greene Street, Wadesboro, NC 28170-1609 | 2016-11-28 |
| 1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
| 1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
| Find all providers with the same taxonomy | ||||
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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.