Midland Optometric PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MIDLAND OPTOMETRIC PA

Doing business as

ERIC R. FOGLEMAN O.D.

Practice address

2160B Midland Rd
Suite B
Southern Pines, NC 28387-2927

Phone

(910) 295-3220

Fax

(910) 295-0507

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine M Loftis

Title

Office Manager

Phone

(910) 295-3220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ERIC R. FOGLEMAN O.D. Doing business as

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1083664940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160B MIDLAND RD",
            "address_2": "SUITE B",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-3220",
            "fax_number": "910-295-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160B MIDLAND RD",
            "address_2": "SUITE B",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-3220",
            "fax_number": "910-295-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND OPTOMETRIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "LOFTIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-295-3220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "01269",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901269",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIC R. FOGLEMAN O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Messina
• Daniel Kent Messner, MD
• Metaphors Fur Growth Therapy PLLC
• Allyson Corinne Metro, MD
• Mid South Urgent Care PC
• Mihalo PLLC
• Tarra Wright Millender, M.D.
• Asia Miller
• Domonique Yvette Miller
• John Daniel Miller, OD

• Optometrist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.