Cape Fear Optometric Clinic PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC1462 Issued in NC

Legal business name

CAPE FEAR OPTOMETRIC CLINIC PA

Practice address

1134 Holly St
Wadesboro, NC 28170-2452

Phone

(704) 694-3618

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michele Philbrick Keel, OD

Title

Optometrist

Phone

(704) 694-3618

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Anson County Optometric Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1023112646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 HOLLY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702452",
            "telephone_number": "704-694-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 HOLLY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702452",
            "telephone_number": "704-694-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR OPTOMETRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "PHILBRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-694-3618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0905B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890903C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anson County Optometric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Burch, MS CCC SLP
• April Nicole Burks, MD
• Latesha J Burns
• Donna B Burr, LMT
• C-Lou'S Family Services
• Ronald Shedrick Capel, CARF
• Carolina Community Transit LLC
• Carolina Eye Associates Inc
• Carolina Healthcare Southeast Region, LLC
• Carolina-Anson Healthcare Incorporated

• Optometrist in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.