OPTIX EYECARE CENTER OD PLLC (NPI# 1073621330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621330 |
| Entity Type | Organization |
| Organization Name | OPTIX EYECARE CENTER OD PLLC |
| Practice Address |
2812 Erwin Rd Ste 201 Durham NC 27705 |
| Practice Telephone | 9193840784 |
| Practice Fax Number | 9193216249 |
| Mailing Telephone | 9193840784 |
| Mailing Fax Number | 9193216249 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK STUART NEWMAN (OWNER) |
| Authorized Official Telephone | 9193840784 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS NC | 09501 | 01 | |
| NC | 8909501 | 05 |
| Street Address |
2812 ERWIN RD STE 201 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309060 | Mark Stuart Newman | Optometrist | 2812 Erwin Rd, Suite 201, Durham, NC 27705-4502 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| 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 |
|---|---|---|---|---|
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1285107136 | Inview Eye Care 2, Od, Pllc | Optometrist | 1125 W Nc Highway 54 Ste 315, Durham, NC 27707-5717 | 2019-01-03 |
| 1346792918 | Greyssy Lizeth Haider | Optometrist | 6910 Fayetteville Rd Ste 296, Durham, NC 27713-8286 | 2016-10-31 |
| 1265704316 | Eye Care Associates Od Pa | Optometrist | 7001 Fayetteville Rd, Suite 105, Durham, NC 27713-9643 | 2012-02-06 |
| 1487935995 | Darryl E Glover Jr. | Optometrist | 7001 Fayetteville Rd Ste 105, Durham, NC 27713-9643 | 2011-08-30 |
| 1851578371 | Eye Care Associates Od Pa | Optometrist | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 | 2008-01-28 |
| 1326181058 | Keith Allen Merrill | Optometrist | 3101 Shannon Rd, Durham, NC 27707-3571 | 2007-02-14 |
| 1942347463 | David Campbell Horton | Optometrist | 3500 N Roxboro St, Durham, NC 27704-2741 | 2007-01-31 |
| 1154470201 | Raymond J Legen | Optometrist | 5108 N Roxboro St, Durham, NC 27704-1420 | 2007-01-09 |
| 1356382469 | Naheed Kassam | Optometrist | 6910 Fayetteville Road, Suite 296, Durham, NC 27713-8286 | 2006-06-09 |
| Find all providers in DURHAM | ||||
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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.