Active NPI
Aesthetic Facial & Ocular Plastic Surgery Center, PA
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Fayetteville, NC
National Provider Identifier
1285856690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA
- Practice address
- 2047 Valleygate Dr
Fayetteville, NC 28304-3688 - Phone
- (919) 590-4432
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Howard Christensen, M.D.
- Title
- Medical Director
- Phone
- (919) 933-1294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary |
Addresses
Primary practice location
2047 Valleygate Dr
Fayetteville, NC 28304-3688
Mailing address
5111 Schley Rd
Hillsborough, NC 27278-6845
Phone (919) 590-4432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-22474 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
100 Europa Dr
Ste 255
Chapel Hill, NC 27517
2801 Blue Ridge Rd
Ste 200
Raleigh, NC 27607
Phone (919) 571-0081
7920 Acc Blvd
Ste 320
Raleigh, NC 27617
Phone (919) 224-8020
1907 S 17th St
Ste 3
Wilmington, NC 28401
Phone (910) 341-0011
1717 Shipyard Blvd
Ste 140
Wilmington, NC 28403
Phone (910) 796-8600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Cary, NC
- NPI 1548234313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1285856690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 SCHLEY RD",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272786845",
"telephone_number": "919-590-4432",
"fax_number": "919-644-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 VALLEYGATE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043688",
"telephone_number": "919-590-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "919-933-1294",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-22474",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.