Live Oak Ophthalmology, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LIVE OAK OPHTHALMOLOGY, PC

Practice address

1915 S 17TH St
Suite 101
Wilmington, NC 28401-6681

Phone

(910) 251-8200

Fax

(910) 251-8204

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Groat, MD

Title

President

Phone

(843) 822-5496

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1356777643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016681",
            "telephone_number": "910-251-8200",
            "fax_number": "910-251-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016681",
            "telephone_number": "910-251-8200",
            "fax_number": "910-251-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GROAT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-822-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Litwak, OD
• Jin Liu, MD
• Katharine Liu, MD
• Sally Leavell Liu
• Live Oak Counseling and Associates
• Andrea Campbell Livermore, PHARM.D.
• Diana Maria Lizarazo
• LJS Distributors Inc.
• Martha Lee Ljung, MD
• Tor Martin Ljung, MD

• Ophthalmology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.