DR. KENNETH NEIL MCMACKIN (NPI# 1922219617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922219617 |
| Entity Type | Individual |
| Full Name | DR. KENNETH NEIL MCMACKIN |
| Practice Address |
3312 Battleground Ave Greensboro NC 27410-2548 |
| Mailing Address |
2450 Merrimont Dr Winston Salem NC 27106-4902 |
| Practice Telephone | 3362888823 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1687 | NC | Eye and Vision Services Providers |
| Street Address |
3312 BATTLEGROUND AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596809 | Charles Richard Epes | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2402 | 2005-05-23 |
| 1508256074 | Ashley Wahlfeldt Timmons | Nurse Practitioner | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2015-02-04 |
| 1063800555 | Carolina Eye Associates, Inc. | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2015-01-06 |
| 1861808099 | American Eye Institute, Pllc | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2014-07-09 |
| 1063771616 | Southeastern Cataract Laser Center | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2012-05-16 |
| 1063770758 | Andrew Julian Mincey | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2012-05-01 |
| 1316203151 | Christopher Tulip Shah | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2012-04-05 |
| 1396011003 | Laser Defined Vision | Ophthalmology | 3312 Battleground Ave, Suite 102, Greensboro, NC 27410-2548 | 2012-03-27 |
| 1154535458 | Tlc The Laser Center (carolina) Inc. | Clinic/Center | 3312 Battleground Ave, Ste. 102, Greensboro, NC 27410-2548 | 2007-05-09 |
| 1295727634 | Albert Lee Lundquist | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2402 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| 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 |
|---|---|---|---|---|
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1659767242 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 411a Pisgah Church Rd, Greensboro, NC 27455-2590 | 2015-04-09 |
| 1083044515 | Lindsay Leigh Totten | Optometrist | 5710 W Gate City Blvd Ste Q, Greensboro, NC 27407-7047 | 2013-11-19 |
| 1609135144 | Greensboro Optometric, Pa | Optometrist | 226 S Elm St, Greensboro, NC 27401-2692 | 2012-05-03 |
| 1073815817 | Maria S Johnson Od Pllc | Optometrist | 136 Northridge St, Greensboro, NC 27403-1457 | 2010-11-30 |
| 1558677443 | William E Dolan Od Pa | Optometrist | 2900 High Point Rd Ste B, Greensboro, NC 27403-4556 | 2010-08-30 |
| 1720390784 | Lauren Ivey Hacker | Optometrist | 1110 Commerce Dr Ste 112, Greensboro, GA 30642-7444 | 2010-07-07 |
| 1518135037 | Steven W. Bernstorf, Od, Pa | Optometrist | 2633 Randleman Road, Greensboro, NC 27406-5107 | 2008-02-19 |
| 1013104249 | Red I Optical, Inc | Optometrist | 1607 Westover Terrace, Greensboro, NC 27408 | 2007-10-02 |
| 1649489246 | Robert J. Echerd | Optometrist | 602 Pasteur Dr, Greensboro, NC 27403-1148 | 2007-05-21 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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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.