Edward Lee Paul Jr., O.D., PH.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1227 Issued in NC

Practice address

1613 Military Cutoff Rd Ste 230
Wilmington, NC 28403-5745

Phone

(910) 256-6364

Fax

(910) 256-6617

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward L. Paul, Jr., O.D., PH.D., P.a.Group PAC ID 0941309892, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edwardpaul@paulvision.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward L. Paul, Jr., O.D., PH.D., P.a.

  • Optometrist
  • Wilmington, NC
  • NPI 1225231756
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1043377948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 MILITARY CUTOFF RD STE 230",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035745",
            "telephone_number": "910-256-6364",
            "fax_number": "910-256-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MILITARY CUTOFF RD STE 230",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035745",
            "telephone_number": "910-256-6364",
            "fax_number": "910-256-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PERF PROV #",
            "identifier": "246507H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Wilson Cousar Pattison, M.D.
• Kristen Allyn Patton, D.C.
• Nancy Patz, PA-C
• Paul a. Buongiorno, M.D., P.a.
• Allyson Rachel Paul, PTMS
• Quinto Lee Pauletti, D.C
• Jaylyn Paulino
• Thomas Erik Paulson, MD
• Pause2
• Pavillon by the Sea

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.