OrganizationActive
Active Life Eye Care, OD, PA
NPI 1740663855 · Optometrist · Madison, NC
Active Life Eye Care, OD, PA is a Optometrist organization in Madison, NC (NPI 1740663855).
Provider details
- NPI number
- 1740663855
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brent Johnson, Optometrist(336) 404-6235
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 W Academy St
Madison, NC 27025-2005
Phone: (336) 404-6235
Street-level locationGet directions
Mailing address
415 W Academy St
Madison, NC 27025-2005
Registry dates
- Enumerated
- 2015-07-07
- Last updated
- 2016-01-11
Frequently asked questions
- What is Active Life Eye Care, OD, PA's NPI number?
- Active Life Eye Care, OD, PA's National Provider Identifier (NPI) is 1740663855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life Eye Care, OD, PA?
- Active Life Eye Care, OD, PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Active Life Eye Care, OD, PA located?
- Active Life Eye Care, OD, PA's practice location on file with NPPES is 415 W Academy St, Madison, NC 27025-2005.
- What is Active Life Eye Care, OD, PA's phone number?
- The practice phone number listed in the NPPES registry for Active Life Eye Care, OD, PA is (336) 404-6235.
- Who is the authorized official for Active Life Eye Care, OD, PA?
- The authorized official listed on Active Life Eye Care, OD, PA's NPPES record is Brent Johnson, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life Eye Care, OD, PA's NPI active?
- Yes — Active Life Eye Care, OD, PA's NPI (1740663855) is active in the NPPES registry as of the last update on 2016-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.