Eye Care Associates, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE ASSOCIATES, OD, PA

Practice address

5611 Carolina Beach Rd
Suite E
Wilmington, NC 28412-2785

Phone

(910) 790-0212

Fax

(910) 798-2992

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephen F Bolick, OD

Title

Owner/Ceo

Phone

(919) 847-0187

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eye Care Associates Doing business as

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1649508268",
    "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": "5611 CAROLINA BEACH RD",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122785",
            "telephone_number": "910-790-0212",
            "fax_number": "910-798-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-847-0187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NORTHCAROLINA",
            "identifier": "022J1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2419",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913376",
            "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 Feb 11, 2013; 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.