Active NPI
Max Gilbert Sox Jr.
- Optician
- Wilmington, NC
National Provider Identifier
1336382142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 594
- Practice address
- 1120 Medical Center Dr
Wilmington, NC 28401-7305 - Phone
- (910) 763-2532
- NPI assigned
- Apr 8, 2009
- Last updated
- Sep 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 594 | NC | Primary |
Addresses
Primary practice location
1120 Medical Center Dr
Wilmington, NC 28401-7305
Mailing address
411 N Colony Cir
Wilmington, NC 28409-9148
Phone (910) 796-3272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8802139 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 594 | NC | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Optical Services of Wilmington | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Wilmington, NC
- NPI 1295060267
-
- Eyewear Supplier
- Wilmington, NC
- NPI 1558793976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1336382142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N COLONY CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284099148",
"telephone_number": "910-796-3272",
"fax_number": "910-796-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017305",
"telephone_number": "910-763-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOX",
"first_name": "MAX",
"middle_name": "GILBERT",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-08",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8802139",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Southern Cross Community Services, Inc (Southern Cross Mental Health Centers)
- Southern Cross Community Services, Inc (Southern Cross Mental Health Centers)
- Southside Medical Center PA
- Southside Medical Center, PA
- Sovereign Solutions Logistics
- Kristina Spackman, M. S.
- Zoe Spadaro, OTR/L
- Kim M Spader, P-LCSW
- Jessica Spaeth, PSY.D.
- Leta Olivia Spain
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.