NPIMap

Organization Active NPI

Carolina Eye Care Professionals,PA

  • Clinic/Center
  • Lumberton, NC
National Provider Identifier
1154545952
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
200001330969 Issued in NC
Legal business name
CAROLINA EYE CARE PROFESSIONALS,PA
Practice address
4311C Ludgate St
Lumberton, NC 28358-2460
Phone
(910) 739-0606
Fax
(910) 739-8507
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Mrs. Danette Grace Barowsky
Title
Practice Administrator
Phone
(910) 592-5379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 200001330969 NC Primary

Addresses

Primary practice location

4311C Ludgate St
Lumberton, NC 28358-2460

Mailing address

340A Northeast Blvd
Jordan Shopping Center
Clinton, NC 28328-2424
Phone (910) 592-5379

Other identifiers 2

IdentifierTypeStateIssuer
Q01521MedicaidSC
5900602MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1154545952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340A NORTHEAST BLVD",
            "address_2": "JORDAN SHOPPING CENTER",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282424",
            "telephone_number": "910-592-5379",
            "fax_number": "910-592-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311C LUDGATE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582460",
            "telephone_number": "910-739-0606",
            "fax_number": "910-739-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE CARE PROFESSIONALS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "BAROWSKY",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-592-5379",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "200001330969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q01521",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900602",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.