CARDINAL EYE CARE OD (NPI# 1124683313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124683313 |
| Entity Type | Organization |
| Organization Name | CARDINAL EYE CARE OD |
| Practice Address |
3316 Silas Creek Pkwy Winston Salem NC 27103-3011 |
| Mailing Address |
409 Lotus Ct Lewisville NC 27023-9840 |
| Practice Telephone | 3367655350 |
| Mailing Telephone | 4344295868 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | DR. GEORGE NATHAN BUTTERWORTH (PRESIDENT) |
| Authorized Official Telephone | 4344295868 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers |
| Street Address |
3316 SILAS CREEK PKWY |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415424 | Kelly Lynn Reid | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2006-07-25 |
| 1366922197 | Melissa E Heisler | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2018-08-21 |
| 1073019998 | Marium Warsi-zehri | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2018-03-30 |
| 1679012918 | Tunnel Road Optometry Group Od Pa | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2017-02-20 |
| 1154716421 | Tunnel Road Optometry Group | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2015-04-02 |
| 1982032959 | Thuyvan Vo | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2013-10-29 |
| 1720356058 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2011-12-01 |
| 1295040111 | Angela Beth Sellers | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2010-08-16 |
| 1518189976 | Davis Eye Associates Od, Pa | Optometrist | 3316 Silas Creek Pkwy, Davis Eye Associates Od Pa, Winston Salem, NC 27103-3011 | 2007-05-03 |
| 1548340250 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1205859832 | Roger Glen Davis | Optometrist | 235 Harvey St, Winston Salem, NC 27103-1741 | 2006-07-25 |
| 1861415424 | Kelly Lynn Reid | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2006-07-25 |
| 1366922197 | Melissa E Heisler | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2018-08-21 |
| 1124506373 | Dr. B. Keith Cash - Optometry, Pllc | Optometrist | 2596 Reynolda Rd Ste A, Winston Salem, NC 27106-4651 | 2018-07-31 |
| 1679012918 | Tunnel Road Optometry Group Od Pa | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2017-02-20 |
| 1154716421 | Tunnel Road Optometry Group | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2015-04-02 |
| 1982093563 | Ronald A. Brake,o.d.,p.a. | Optometrist | 611 Coliseum Dr, Suite B, Winston Salem, NC 27106-5310 | 2015-01-20 |
| 1982032959 | Thuyvan Vo | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2013-10-29 |
| 1518189976 | Davis Eye Associates Od, Pa | Optometrist | 3316 Silas Creek Pkwy, Davis Eye Associates Od Pa, Winston Salem, NC 27103-3011 | 2007-05-03 |
| 1104840578 | Lisa N Davis | Optometrist | 235 Harvey St, Winston Salem, NC 27103-1741 | 2006-07-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.