VISION PARK OPTOMETRY, P.A. (NPI# 1104922210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104922210 |
| Entity Type | Organization |
| Organization Name | VISION PARK OPTOMETRY, P.A. |
| Practice Address |
8311 Bandford Way Suite 105 Raleigh NC 27615-2756 |
| Practice Telephone | 9198701880 |
| Practice Fax Number | 9198474509 |
| Mailing Telephone | 9198701880 |
| Mailing Fax Number | 9198474509 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. ANN GROOMER MOORE (OPTOMETRIST/ CORPORATE PRESIDENT) |
| Authorized Official Telephone | 9198701880 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 410033568 | 01 |
| Street Address |
8311 BANDFORD WAY SUITE 105 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504532 | George John Kuchenreuther | Optometrist | 8311 Bandford Way, Suite 105, Raleigh, NC 27615-2756 | 2006-01-26 |
| 1891101994 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 8311 Bandford Way, Suite 105, Raleigh, NC 27615-2763 | 2014-07-09 |
| 1306965199 | Ashley Royal Willoughby | Physician Assistant | 8311 Bandford Way, Suite 101, Raleigh, NC 27615-2756 | 2007-03-29 |
| 1194880104 | All About Aesthetics PC | Clinic/Center | 8311 Bandford Way, Suite 103, Raleigh, NC 27615-2756 | 2006-12-27 |
| 1194893487 | Creedmoor Centre Medical Associates, Pa | Clinic/Center | 8311 Bandford Way, Suite 007, Raleigh, NC 27615-2756 | 2006-12-03 |
| 1639258718 | Robert C. Juer | Family Medicine | 8311 Bandford Way, Suite 007, Raleigh, NC 27615-2756 | 2006-11-02 |
| 1962593509 | Deborah Kessler Hudak | Dermatology | 8311 Bandford Way, Suite 103, Raleigh, NC 27615-2756 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| 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 |
|---|---|---|---|---|
| 1518507904 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 4905 Green Rd Ste 107b, Raleigh, NC 27616-2805 | 2020-01-14 |
| 1194371070 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1100 Mercantile Dr, Ste 130, Raleigh, NC 27609-7498 | 2019-08-15 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1669905634 | Eyecarecenter Od Pa | Optometrist | 119 E Hargett St, Raleigh, NC 27601-1579 | 2017-04-06 |
| 1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1578989125 | Charles C Wiggins Od Pllc | Optometrist | 8500 Glenlake Ct, Raleigh, NC 27606-9369 | 2014-03-06 |
| 1386080349 | Good Looks, Od, Pa | Optometrist | 8511 Colonnade Center Dr, Suite 100, Raleigh, NC 27615-3066 | 2013-05-17 |
| 1205270659 | Dennis Garcia, O.d., P.l.l.c. | Optometrist | 13251 Falls of Neuse Rd, Suite 121, Raleigh, NC 27614-8572 | 2013-04-28 |
| 1245580984 | Yewande Olateju Alonge | Optometrist | 6212 Glenwood Ave Ste 101, Raleigh, NC 27612-2657 | 2012-09-10 |
| Find all providers in RALEIGH | ||||
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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.