Craven Optometric Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

0822 Issued in NC

Legal business name

CRAVEN OPTOMETRIC CENTER

Practice address

3005 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-5211

Phone

(252) 633-0651

Fax

(252) 514-9419

NPI assigned

Apr 25, 2008

Last updated

Apr 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Virgil Hyman Mewborn III, O.D.

Title

President

Phone

(252) 633-0651

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1184899619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625211",
            "telephone_number": "252-633-0651",
            "fax_number": "252-514-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625211",
            "telephone_number": "252-633-0651",
            "fax_number": "252-514-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAVEN OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MEWBORN",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "HYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-633-0651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craven County Board of Education
• Craven County Department of Social Services
• Craven County Department of Social Services
• Craven County Department of Social Services
• Craven Opco, LLC (The Viridian)
• Craven Pathology Associates Inc
• Craven Physical Therapy & Spine, Inc
• Craven Regional Medical Center (Home Care Craven Regional Medical Authority)
• Craven's Reliable Transport
• Brooklyn Corbett Crawford, LMFTA

• Optometrist in New Bern, NC
• Providers in New Bern, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.