Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Life Eye Care, OD, PA

Organization Optometrist · NPI 1740663855

Active Life Eye Care, OD, PA is an Optometrist in Madison, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 W Academy St
Madison, NC 27025-2005
Phone: (336) 404-6235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1740663855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Johnson — Optometrist · (336) 404-6235
NPI enumeratedJuly 7, 2015
Last updated in NPPESJanuary 11, 2016
Mailing address415 W Academy St, Madison, NC 27025-2005

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