Organization Active NPI

Eastern Carolina Glaucoma and Vision Center

  • Glaucoma Specialist (Ophthalmology) Physician
  • New Bern, NC
National Provider Identifier
1417726902
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
Legal business name
EASTERN CAROLINA GLAUCOMA AND VISION CENTER
Practice address
3115 Trent Rd
New Bern, NC 28562
Phone
(252) 877-6177
Fax
(931) 202-8081
NPI assigned
Dec 26, 2023
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Michele Lea Scott, MDNPI 1780865717
Title
Owner
Phone
(336) 671-5187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X Primary

Addresses

Primary practice location

3115 Trent Rd
New Bern, NC 28562

Mailing address

3115 Trent Rd
New Bern, NC 28562
Phone (336) 671-5187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216003637 NC Part B Supplier - Clinic/Group Practice 9537503586 Receives reassigned benefits from 1 practitioner
Practice locations: Trent Woods, NC

National Provider Directory

National Provider Directory

Locations

3115 Trent Rd
Trent Woods, NC 28562
Phone (252) 877-6177

Interoperability endpoints

  • Direct secure messaging: mscott@msmd.intellechartdirect.net

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1417726902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28562",
            "telephone_number": "336-671-5187",
            "fax_number": "931-202-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28562",
            "telephone_number": "252-877-6177",
            "fax_number": "931-202-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA GLAUCOMA AND VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-671-5187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.