Wilmington Eye Care Associates OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1294 Issued in NC

Legal business name

WILMINGTON EYE CARE ASSOCIATES OD

Doing business as

Eye Care Associates

Practice address

6825 Parker Farm Dr
Wilmington, NC 28405-3168

Phone

(910) 452-0554

Fax

(910) 452-0767

NPI assigned

Dec 29, 2006

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Bolick, ODNPI 1992798433

Title

Owner

Phone

(919) 847-0187

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eye Care Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen F Bolick, OD

  • Optometrist
  • Raleigh, NC
  • NPI 1992798433
  Authorized official Same address or phone

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1376609818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SIX FORKS RD",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156156",
            "telephone_number": "919-847-0187",
            "fax_number": "919-676-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 PARKER FARM DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053168",
            "telephone_number": "910-452-0554",
            "fax_number": "910-452-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON EYE CARE ASSOCIATES OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-847-0187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DP7929",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "018TG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905844",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jul 21, 2014; 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.