Active NPI
Port City Eye Associates, OD, P.a.
- Optometrist
- Wilmington, NC
National Provider Identifier
1427248707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1904
- Legal business name
- PORT CITY EYE ASSOCIATES, OD, P.A.
- Practice address
- 8262 Market St
Suite 103
Wilmington, NC 28411-9805 - Phone
- (910) 686-3396
- Fax
- (910) 686-3398
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abbie C Prevatt
- Title
- Practice Coordinator
- Phone
- (910) 947-6285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1904 | NC | Primary |
Addresses
Primary practice location
8262 Market St
Suite 103
Wilmington, NC 28411-9805
Mailing address
8262 Market St
Suite 103
Wilmington, NC 28411-9805
Phone (910) 686-3396
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699866145 | Other | NPI-PERSONAL | |
| 89093RU | Medicaid | NC | |
| 093RU | Other | NC | BCBS |
| U99114 | Other | NC | UPIN |
National Provider Directory
National Provider DirectoryLocations
8262 Market St
Ste 103
Wilmington, NC 28411
Phone (910) 686-3396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269648000000",
"number": "1427248707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8262 MARKET ST",
"address_2": "SUITE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119805",
"telephone_number": "910-686-3396",
"fax_number": "910-686-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8262 MARKET ST",
"address_2": "SUITE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119805",
"telephone_number": "910-686-3396",
"fax_number": "910-686-3398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT CITY EYE ASSOCIATES, OD, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2010-03-27",
"status": "A",
"authorized_official_last_name": "PREVATT",
"authorized_official_first_name": "ABBIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRACTICE COORDINATOR",
"authorized_official_telephone_number": "910-947-6285"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "1904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-PERSONAL",
"identifier": "1699866145",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89093RU",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "093RU",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "U99114",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Anna Rae Porcelli, DPT
- Kristin Porcelli, MSCCC/SLP
- Port City Behavioral Health
- Port City Chiropractic Inc.
- Port City Contracting Service
- Port City Family and Cosmetic Dentistry
- Port City Medical Associates
- Port City Neurosurgery and Spine, P.C.
- Port City Optometry, PLLC
- Port City Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.