DR. MICHAEL JONATHAN ENNIS


Address: 131 Glensford Commons Suite 105, Fayetteville, NC 28314
Phone: 9108602020

DR. MICHAEL JONATHAN ENNIS (NPI# 1336229186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336229186
Entity Type Individual
Full Name DR. MICHAEL JONATHAN ENNIS
Credential OD PA
Practice Address 131 Glensford Commons Suite 105
Fayetteville
NC 28314
Practice Telephone 9108602020
Practice Fax Number 9108643719
Mailing Telephone 9108602020
Mailing Fax Number 9108643719
Enumeration Date 2006-10-16
Last Update Date 2018-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 1221 NC Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 890926C 05

Other Providers MICHAEL ENNIS

NPI Name Taxonomy Address Enumeration
1164500583 Michael Ennis Chiropractor 16852 Titan Drive, Houston, TX 77058-2730 2006-11-02
1861482663 Michael C. Ennis Family Medicine 279 Lincoln St, Hahnemann Family Health Center, Worcester, MA 01605-2120 2005-10-24
1578995353 Michael Ryan Ennis Technician, Other 8501 Tanner Williams Rd, Mobile, AL 36608-8322 2013-08-05
1285844936 Michael Ennis Occupational Therapist 164 Parkingway St, Quincy, MA 02169-5020 2007-05-23
1205914363 Michael E. Ennis Anesthesiology 1425 S Main St, Walnut Creek, CA 94596-5318 2006-11-02
1639160054 Michael F Ennis Legal Medicine 5200 Centre Ave, Suite 312, Pittsburgh, PA 15232-1300 2005-11-03
1346241288 Michael P Ennis Nurse Anesthetist, Certified Registered 123 Summer Street, Worcester, MA 01608 2005-08-02

Office Location

Street Address 131 GLENSFORD COMMONS SUITE 105
City FAYETTEVILLE
State NC
Zip Code 28314

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528677812 Lamonica Laveta Greene Massage Therapist 7804 Loxley Drive, Fayetteville, NC 28314 2020-07-23
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1780231894 Bio-medical Applications of North Carolina, Inc. Clinic/Center 2360 Williamwood Lane, Fayetteville, NC 28314 2019-08-22
1164075982 A Touch of Grace Inc Day Training/Habilitation Specialist 2153 Heathcote Drive, Fayetteville, NC 28314 2019-07-21
1093284465 Candice Gorremans Physician Assistant 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 2018-11-15
1861983439 Jessica Lynne Smith Counselor 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 2018-05-19
1073003752 Gooden Mobile Pod Nc Pllc Podiatrist 311 Mcfadyen Dr, Fayetteville, NC 28314 2018-05-17
1093222101 Lauren Bonneau Behavioral Analyst 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 2018-01-10
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679103220 Atl Optical LLC Optometrist 1135 Highway 85 N Ste D, Fayetteville, GA 30214-2085 2020-01-23
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1922515808 Focused Family Eye Care, Pllc Optometrist 3730 N Vantage Dr, Fayetteville, AR 72703-5442 2018-01-02
1952829186 Davis Eye Associates Inc. Optometrist 2901 E Zion Rd Ste 13, Fayetteville, AR 72703-5070 2017-09-08
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1356730493 Myeyedr Optometry of North Carolina, Pllc Optometrist 326 Glensford Dr, Suite 108, Fayetteville, NC 28314 2015-01-13
1013314608 Ashley Ballard Optometrist 326 Glensford Dr Ste 108, Fayetteville, NC 28314-3219 2014-11-25
1891108924 Focus Vision Optometric Care, Pllc Optometrist 1594 Skibo Rd, Fayetteville, NC 28303-3478 2014-06-06
1336488204 Northwest Vision Group Optometrist 3215 E Summershade Dr, Fayetteville, AR 72703-4375 2013-02-12
1912257247 Zachary Robert Engle Optometrist 419 Cross Creek Mall, Ste 302, Fayetteville, NC 28303-7285 2012-09-13
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28314

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Dataset Information

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.

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