DR. ANGELA MARIE FOX-PUTNAM (NPI# 1992785836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992785836 |
| Entity Type | Individual |
| Full Name | DR. ANGELA MARIE FOX-PUTNAM |
| Credential | OD |
| Practice Address |
612 S Main St Mount Holly NC 28120-1653 |
| Mailing Address |
612 South Main Street Mount Holly NC 28120-1653 |
| Practice Telephone | 7048220099 |
| Practice Fax Number | 7048220077 |
| Mailing Telephone | 7048220099 |
| Mailing Fax Number | 7048220077 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1387 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890928G | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 0928G | 01 |
| NC | SPECTERA | 12304 | 01 |
| NC | EYEMED | OP069 | 01 |
| NC | DAVIS VISION | 4622 | 01 |
| Street Address |
612 S MAIN ST |
| City | MOUNT HOLLY |
| State | NC |
| Zip Code | 28120-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720261662 | Mount Holly Eye Clinic, Od, Pa | Optometrist | 612 S Main St, Mount Holly, NC 28120-1653 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851775027 | Wesley Marsh | Dentist | 176 Palomino Trl, Mt Holly, NC 28120 | 2015-07-16 |
| 1407094642 | Kelly Lee Coney Pacious | Physical Therapist | 328 Whippoorwill Lane, Mount Holly, NC 28120 | 2009-01-26 |
| 1427183979 | Touched By Angels Home Healthcare, Inc. | Home Health | 16 Oak Grove St, Mt Holly, NC 28120 | 2007-02-23 |
| 1417052119 | Andrew Rogers Oblinger | Dentist | 247 W Catawba Ave, Mt Holly, NC 28120 | 2006-09-14 |
| 1437648334 | Moose Pharmacy of Mt Holly LLC | Durable Medical Equipment & Medical Supplies | 125 W Central Ave, Mount Holly, NC 28120 | 2018-05-07 |
| 1104898634 | Michael Alson Smith | Family Medicine | 305 W Catawba Ave, Mount Holly, NC 28120 | 2006-02-07 |
| 1972642049 | Woodlawn Haven, Inc | Assisted Living Facility | 301 Craig St, Mount Holly, NC 28120-1265 | 2007-02-06 |
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1487946380 | Monica K Rendon | Specialist | 320 Langhorne Dr, Mt Holly, NC 28120-1452 | 2011-05-10 |
| 1033750674 | Amanda Marie Antczak | Counselor | 129 Maggie Dr, Mount Holly, NC 28120-1486 | 2019-10-04 |
| Find all providers in zip 28120 | ||||
| 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 |
|---|---|---|---|---|
| 1033162714 | Michael Darren Emmett | Optometrist | 132 W Charlotte Ave, Mount Holly, NC 28120-1776 | 2006-05-17 |
| 1912170630 | Michael D Emmett | Optometrist | 132 W Charlotte Ave, Mount Holly, NC 28120-1776 | 2008-04-03 |
| 1720261662 | Mount Holly Eye Clinic, Od, Pa | Optometrist | 612 S Main St, Mount Holly, NC 28120-1653 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566777 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 2145 Hendersonville Rd Ste D, Arden, NC 28704-9724 | 2020-10-20 |
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1609400381 | Idealeyes, O.d., Pllc | Optometrist | 905 Boyer Dr, Clemmons, NC 27012-9476 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 28120 |
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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.