PROFESSIONAL EYE ASSOCIATES OPTOMETRY,P.A. (NPI# 1104018134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104018134 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EYE ASSOCIATES OPTOMETRY,P.A. |
| Practice Address |
8821 Six Forks Road Raleigh NC 27614 |
| Practice Telephone | 9198700927 |
| Practice Fax Number | 9198700859 |
| Mailing Telephone | 9198700927 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. DONALD JAY BAILEY (OPTOMETRIST/PRESIDENT) |
| Authorized Official Telephone | 9198700927 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1250 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89-0902C | 05 |
| Street Address |
8821 SIX FORKS ROAD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023043163 | Susan Licata Durham | Optometrist | 10207 Cerny St, Suite 100, Raleigh, NC 27617-7878 | 2006-07-11 |
| 1487602272 | Linda Maria Stolfo | Optometrist | 6617 Falls of Neuse Rd, Raleigh, NC 27615-6816 | 2006-05-04 |
| 1538138219 | Donald Jay Bailey | Optometrist | 8821b Six Forks Rd, Raleigh, NC 27615-2970 | 2006-03-16 |
| 1770907966 | Kiarash Bassiri, Od, Pa | Optometrist | 6400 Creedmoor Rd, Suite 103, Raleigh, NC 27613-3600 | 2014-02-10 |
| 1497197123 | Richard G. Langellotti, Od | Optometrist | 1725 New Hope Church Rd, Raleigh, NC 27609-6285 | 2013-07-23 |
| 1205951787 | New Hope Eye Associates Optometric Pa | Optometrist | 1725 New Hope Church Rd, Raleigh, NC 27609-6285 | 2007-03-21 |
| 1902857675 | Raleigh Eye Center, Pa | Optometrist | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295132520 | Jingya Jeanne Chen | Optometrist | 1600 Highwoods Blvd, Greensboro, NC 27410-2048 | 2014-12-02 |
| 1528313301 | Bunich Optometric Clinic Pllc | Optometrist | 1820 East Blvd., Charlotte, NC 28203 | 2012-07-18 |
| 1972868420 | Advance Eyecare Associates, O.d., P.a. | Optometrist | 15235 John J Delaney Dr Ste H, Charlotte, NC 28277-2959 | 2012-07-11 |
| 1306083803 | Ahoskie Eye Care Od Pa Dba Windsor Eye Care | Optometrist | 106 N King Street, Windsor, NC 27983-6863 | 2009-01-21 |
| 1902007131 | Hiten P Prajapati | Optometrist | 1101 Shiloh Glenn Dr, Morrisville, NC 27560-5419 | 2007-05-28 |
| 1689896003 | Davis Eye Associates Od, Pa | Optometrist | 4514 Oleander Dr, Family Vision Clinic, Wilmington, NC 28403-5012 | 2007-05-03 |
| 1386866762 | Tunnel Road Optometry Group | Optometrist | 3702 W Gate City Blvd, Advanced Eye Care, Greensboro, NC 27407-4628 | 2007-05-03 |
| 1083834931 | Samuel Huntington Templeman IIi | Optometrist | 214 Church St Nw, Lenoir, NC 28645-5117 | 2007-04-25 |
| 1255491528 | Knightdale Eyecare Optometric, P.a. | Optometrist | 742 Mcknight Dr, Suite 100, Knightdale, NC 27545-7764 | 2006-12-09 |
| 1780798827 | Leslie M Anderson Od Pa | Optometrist | 11235 Lawyers Rd, Charlotte, NC 28227-9355 | 2006-08-18 |
| 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.