ACTIVE LIFE EYE CARE, OD, PA (NPI# 1740663855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740663855 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE EYE CARE, OD, PA |
| Practice Address |
415 W Academy St Madison NC 27025-2005 |
| Practice Telephone | 3364046235 |
| Mailing Telephone | 3364046235 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | DR. BRENT B. JOHNSON (OPTOMETRIST) |
| Authorized Official Telephone | 3364046235 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
415 W ACADEMY ST |
| City | MADISON |
| State | NC |
| Zip Code | 27025-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013065168 | Tammy Brewer Eckard | Pharmacist | 401 W. Decatur St., Madison, NC 27025 | 2007-01-08 |
| 1972562635 | Total Renal Care of North Carolina LLC | Clinic/Center | 302 Highway St, Madison, NC 27025 | 2006-03-21 |
| 1760578207 | Philip Steven Neal | Dentist | 727 Ayersville Rd, Madison, NC 27025-1505 | 2006-10-04 |
| 1295780955 | Leonard Robert Nyland | Family Medicine | 723 Ayersville Rd, Madison, NC 27025-1505 | 2006-05-23 |
| 1669863940 | Novant Medical Group Inc | Family Medicine | 723 Ayersville Rd, Madison, NC 27025-1505 | 2015-02-09 |
| 1295001618 | Katherine Vaughan Hemberg | Nurse Practitioner | 723 Ayersville Rd, Madison, NC 27025-1505 | 2012-03-29 |
| 1568629954 | Leonard R Nyland, Md,pllc | Physician Assistant | 723 Ayersville Rd, Madison, NC 27025-1505 | 2008-05-22 |
| 1255434924 | North Carolina Cvs Pharmacy LLC | Pharmacy | 717 Highway St, Madison, NC 27025-1507 | 2006-09-07 |
| 1649810201 | Nicholas Tanner White | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2020-01-12 |
| 1447715339 | Meritza Moorefield | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2019-02-05 |
| Find all providers in zip 27025 | ||||
| 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 |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1134631674 | J2lb LLC | Optometrist | 562 N Midvale Blvd, Madison, WI 53705-3238 | 2017-10-24 |
| 1699285478 | Myeyedr Optometry of Alabama LLC | Optometrist | 105 Brookridge Dr Ste F, Madison, AL 35758-7577 | 2017-10-05 |
| 1720506876 | Heritage Eye Care | Optometrist | 12181 County Line Rd Ste 190, Madison, AL 35758-7739 | 2017-09-08 |
| 1215387105 | Jagani Vision Associates | Optometrist | 106 Walking Trail Way, Madison, AL 35758-4818 | 2016-06-21 |
| 1104290816 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 747 Boston Post Rd, Madison, CT 06443-3044 | 2015-11-18 |
| 1790175479 | William Leslie Arnold | Optometrist | 111 Colony Crossing Way Ste 220, Madison, MS 39110-6834 | 2015-02-02 |
| 1548694235 | Stephanie Mccaig | Optometrist | 1 West Towne Mall, Madison, WI 53719 | 2013-08-29 |
| 1851723258 | Mary Elizabeth Chenault | Optometrist | 102 Intercom Dr, Madison, AL 35758-2638 | 2013-08-07 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| Find all providers in MADISON | ||||
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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.