EYECARECENTER OD PA (NPI# 1346781721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346781721 |
| Entity Type | Organization |
| Organization Name | EYECARECENTER OD PA |
| Practice Address |
1575 Nc Highway 66 S Kernersville NC 27284-3516 |
| Mailing Address |
Po Box 207261 Dallas TX 75320-7261 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 3369936950 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | DR. KENNETH ALLAN GREGG (OWNER) |
| Authorized Official Telephone | 2524515324 |
| Authorized Official Credential | OD |
| 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 | SUPPLIER NUMBER | 0222680042 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388326 | Eyecarecenter Od Pa | Optometrist | 128 N Park St, Asheboro, NC 27203-5440 | 2020-02-19 |
| 1649759341 | Eyecarecenter Od Pa | Optometrist | 275 E King St Ste A, Boone, NC 28607-5504 | 2018-08-13 |
| 1669905634 | Eyecarecenter Od Pa | Optometrist | 119 E Hargett St, Raleigh, NC 27601-1579 | 2017-04-06 |
| 1184165607 | Eyecarecenter Od Pa | Optometrist | 5121 Reidsville Rd, Walkertown, NC 27051-9770 | 2017-03-16 |
| 1154739563 | Eyecarecenter Od Pa | Optometrist | 190 Independance Ave, Suite A, North Wilkesboro, NC 28659-4217 | 2014-07-29 |
| 1033371414 | Eyecarecenter Od Pa | Optometrist | 1127 Military Cutoff Rd Ste C, Wilmington, NC 28405-3682 | 2008-06-27 |
| 1376582239 | Eyecarecenter Od Pa | Optometrist | 3001 Raleigh Road Pkwy W, Wilson, NC 27896-8213 | 2006-06-06 |
| 1003861212 | Eyecarecenter Od Pa | Optometrist | 4130 Western Blvd, Jacksonville, NC 28546-6740 | 2006-05-24 |
| 1932152964 | Eyecarecenter Od Pa | Optometrist | 1007a Skyway Dr, Monroe, NC 28110-3042 | 2006-05-19 |
| 1902859952 | Eyecarecenter Od Pa | Optometrist | 1813 W Ehringhaus St, Elizabeth City, NC 27909-4555 | 2006-05-19 |
| Street Address |
1575 NC HIGHWAY 66 S |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| 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 |
|---|---|---|---|---|
| 1043611734 | Kimberly Orr | Optometrist | 853 Old Winston Rd, Suite 113, Kernersville, NC 27284-7143 | 2014-09-12 |
| 1770815722 | Kernersville Eye Associates, O.d., P.a. | Optometrist | 1030 S Main St, Suite Q, Kernersville, NC 27284-7490 | 2010-02-02 |
| 1134366073 | Juawana C Hall Od Pllc | Optometrist | 117 Picardy Ct, Kernersville, NC 27284-6529 | 2009-01-14 |
| 1730214727 | Winston Eye Associates Od Pa | Optometrist | 1575 Hwy 66 South, Kernersville, NC 27284-7440 | 2007-02-22 |
| 1699793067 | Rex Holt Freeman | Optometrist | 1575 Hwy. 66 So., Kernersville, NC 27284 | 2006-07-17 |
| 1871549915 | Amy Vanvoltenburg Harper | Optometrist | 853 Old Winston Road, Suite 113, Kernersville, NC 27284 | 2006-05-26 |
| 1538129291 | Arun Thoppe Subramanian | Optometrist | 1635 Nc Highway 66 S Ste 155, Kernersville, NC 27284-3855 | 2006-03-27 |
| 1902454937 | Amanda Marie Culler | Optometrist | 1027 S Main St, Kernersville, NC 27284-8186 | 2019-09-03 |
| 1659825339 | Heather Danielle Whyte Demarco | Optometrist | 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 | 2016-08-10 |
| 1942607379 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1027 S Main St, Kernersville, NC 27284-8186 | 2014-12-01 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
Please comment or provide details below to improve the information on EYECARECENTER OD PA.
| 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.