Atlantic Vision Center OD PLLC
Organization Active NPI Optometrist · Wilmington, NC
NPI 1124614482 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1124614482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ATLANTIC VISION CENTER OD PLLC
- Practice address
- 3910 Shipyard Blvd
Wilmington, NC 28403-6151 - Phone
- (910) 799-0220
- Fax
- (910) 799-0712
- NPI assigned
- Dec 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Sara Woodring Brigman, OD
- Title
- President
- Phone
- (919) 609-1233
Practitioners 3
-
Sara Brigman, OD
-
Mason Taylor, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210312000222 | NC | Part B Supplier - Clinic/Group Practice | 2567878796 |
Receives reassigned benefits from 3 practitioners Practice locations: Wilmington, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3910 Shipyard Blvd
Wilmington, NC 28403-6151
Mailing address
5901 Hunters Mill LN
Wilmington, NC 28409-2333
Phone (919) 609-1233
Other names
- Atlantic Vision Center
Other providers in Wilmington, NC
- Atlantic Sleep Centers, PLLC
- Atlantic Speech Therapy, P.C.
- Atlantic Surgicenter, LLC
- Atlantic Urology PC
- Atlantic Urology PC
- Lindsay Audia
- Jenny August
- Isabell Grace Ausel
- Jordan Lani Austin
- Ryan Daniel Austin
All providers in Wilmington, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.