Organization Active NPI

Eyecarecenter OD PA

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1033371414
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARECENTER OD PA
Practice address
1127 Military Cutoff Rd Ste C
Wilmington, NC 28405-3682
Phone
(910) 509-1711
Fax
(910) 509-1549
NPI assigned
Jun 27, 2008
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Allan Barker, OD
Title
President
Phone
(252) 451-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1127 Military Cutoff Rd Ste C
Wilmington, NC 28405-3682

Mailing address

1127 Military Cutoff Rd Ste C
Wilmington, NC 28405-3682
Phone (910) 509-1711

Other identifiers 1

IdentifierTypeStateIssuer
5950217MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1033371414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 MILITARY CUTOFF RD STE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053682",
            "telephone_number": "910-509-1711",
            "fax_number": "910-509-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 MILITARY CUTOFF RD STE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053682",
            "telephone_number": "910-509-1711",
            "fax_number": "910-509-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARECENTER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-451-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.