Provider Demographics
NPI:1003982414
Name:EYE MEDICS OPTOMETRY PA
Entity Type:Organization
Organization Name:EYE MEDICS OPTOMETRY PA
Other - Org Name:EYE MEDICS ADULT & PEDIACTRIC EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:910-426-3937
Mailing Address - Street 1:6970 NEXUS CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2642
Mailing Address - Country:US
Mailing Address - Phone:910-426-3937
Mailing Address - Fax:888-526-1583
Practice Address - Street 1:6970 NEXUS CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2642
Practice Address - Country:US
Practice Address - Phone:910-426-3937
Practice Address - Fax:888-526-1583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1921152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017F2OtherGROUP BLUE CROSS BLUE SHI
NC5902566Medicaid
NC1700885357OtherNPI DR. EVA S. SINGLETARY
NC5902565Medicaid
NC1215936885OtherNPI DR. JAMES SINGLETARY
NC5528070001Medicare NSC
NC2339434Medicare PIN
NC5902565Medicaid
NC1215936885OtherNPI DR. JAMES SINGLETARY