Organization Active NPI

East Carolina Center for Sight PA

  • Ophthalmology Physician
  • Greenville, NC
National Provider Identifier
1427212562
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EAST CAROLINA CENTER FOR SIGHT PA
Practice address
1011 WH Smith Blvd
Suite 108
Greenville, NC 27834-5052
Phone
(252) 355-7301
Fax
(252) 364-3140
NPI assigned
Jul 17, 2008
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Dr. Charles W Titone, MDNPI 1619930120
Title
President
Phone
(252) 947-2454

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1011 WH Smith Blvd
Suite 108
Greenville, NC 27834-5052

Mailing address

1011 WH Smith Blvd
Suite 108
Greenville, NC 27834-5052
Phone (252) 355-7301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000067 NC Part B Supplier - Clinic/Group Practice 3476629528 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

1011 Wh Smith Blvd
Ste 108
Greenville, NC 27834
Phone (252) 355-7301

Practitioners & affiliated clinicians

Practitioners 2

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1427212562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 WH SMITH BLVD",
            "address_2": "SUITE 108",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345052",
            "telephone_number": "252-355-7301",
            "fax_number": "252-364-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 WH SMITH BLVD",
            "address_2": "SUITE 108",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345052",
            "telephone_number": "252-355-7301",
            "fax_number": "252-364-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA CENTER FOR SIGHT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "TITONE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-947-2454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.