Market Plaza Optical Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

272 Issued in NC

Legal business name

MARKET PLAZA OPTICAL COMPANY

Practice address

31 S Kerr Ave
Wilmington, NC 28403-1416

Phone

(910) 799-5161

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Kirby

Title

Optical Manager Owner

Phone

(910) 799-5161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1386772002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S KERR AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031416",
            "telephone_number": "910-799-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S KERR AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031416",
            "telephone_number": "910-799-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET PLAZA OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OPTICAL MANAGER OWNER",
        "authorized_official_telephone_number": "910-799-5161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8801661",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.