Organization Active NPI

Aesthetic Facial & Ocular Plastic Surgery Center, PA

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1285856690
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
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

Updated by the provider on Jan 16, 2019

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)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89-22474MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.