Seashore Eye Associates, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SEASHORE EYE ASSOCIATES, OD, PLLC

Practice address

1616 Doctors Cir
Wilmington, NC 28401-7406

Phone

(910) 769-2740

Fax

(910) 769-3622

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bonita Fanelli, DO

Title

Owner/Provider

Phone

(910) 769-2740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie W Fanelli, OD

  • Optometrist
  • Wilmington, NC
  • NPI 1962445395
  Medicare reassignment Care Compare group
• Jessica L Stephenson, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1225316854
  Medicare reassignment Care Compare group
• Jenny Hines Warwick, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1427429323
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1235511536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017406",
            "telephone_number": "910-769-2740",
            "fax_number": "910-769-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017406",
            "telephone_number": "910-769-2740",
            "fax_number": "910-769-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE EYE ASSOCIATES, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "910-769-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaglass Wellness LLC
• Seagrass Integrated Mental Health, PLLC
• Seashore Discount Drugs, Inc
• Seashore Drugs Akshar Inc.
• Seashore Drugs Inc
• Seashore Women'S Health, PLLC
• Seaside Early Childhood & Inclusion Services
• Seaside Pediatrics
• Seaside Speech Solutions, PLLC
• Seaside Steps, LLC

• Optometrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.