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Bethesda Eye Center, Optometry, PA

Optometrist in Winston Salem, NC · enumerated 2007 · authorized official J Grady Elliott, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518007491

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Registry record

Entity type Organization (Type 2)
Legal business name Bethesda Eye Center, Optometry, PA
Practice address 3111 Maplewood Ave, Suite 103, Winston Salem, NC, 27103
Fax (336) 765-6403
Enumeration date Feb 8, 2007
Last updated in NPPES May 16, 2011

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1456 (NC) Primary

Authorized official

Name J Grady Elliott
Title President

Other identifiers

Identifier Type State Issuer
2468143 Other NC MEDICARE - PTAN
8801962 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-16. Verify at npiregistry.cms.hhs.gov.
Where is Bethesda Eye Center, Optometry, PA located?
The practice location on file with NPPES is in Winston Salem, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-16.