Organization Active NPI

East Carolina Retina Consultants, PLLC

  • Ophthalmology Physician
  • Greenville, NC
National Provider Identifier
1164683108
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32591 Issued in NC
Legal business name
EAST CAROLINA RETINA CONSULTANTS, PLLC
Practice address
2501 Stantonsburg Rd
Ste a
Greenville, NC 27834-3205
Phone
(252) 758-2402
Fax
(252) 758-2762
NPI assigned
Jun 23, 2008
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Peter A Van Houten, M.D.NPI 1558359299
Title
Owner
Phone
(252) 758-2402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32591 NC Primary

Addresses

Primary practice location

2501 Stantonsburg Rd
Ste a
Greenville, NC 27834-3205

Mailing address

2501 Stantonsburg Rd
Ste a
Greenville, NC 27834-3205
Phone (252) 758-2402

National Provider Directory

National Provider Directory

Locations

2501 Stantonsburg Rd
Ste A
Greenville, NC 27834
Phone (252) 758-2402

Practitioners & affiliated clinicians

Practitioners 1

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1164683108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 STANTONSBURG RD",
            "address_2": "STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343205",
            "telephone_number": "252-758-2402",
            "fax_number": "252-758-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 STANTONSBURG RD",
            "address_2": "STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343205",
            "telephone_number": "252-758-2402",
            "fax_number": "252-758-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA RETINA CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "VAN HOUTEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-758-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "32591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.