Carolina Eye Surgical and Laser Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

23173 Issued in NC

Legal business name

CAROLINA EYE SURGICAL AND LASER CENTER

Practice address

1002 N Church St
Ste 200
Greensboro, NC 27401-1448

Phone

(336) 854-4441

Fax

(336) 854-7883

NPI assigned

May 28, 2005

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald John Bergin, M.D.

Title

Ophthalmologist

Phone

(336) 854-4441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1669475117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "336-854-4441",
            "fax_number": "336-854-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011448",
            "telephone_number": "336-854-4441",
            "fax_number": "336-854-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE SURGICAL AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BERGIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "336-854-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "23173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Community Consultants, PLLC (Kenneth J. Headen, MD)
• Carolina Dermatology Center
• Carolina Diagnostic Corporation (Piedmont Sleep at Greensboro)
• Carolina Diagnostics, Inc
• Carolina Eye Associates Inc (Carolina Eye Associates PA)
• Carolina Homes for Youth Inc
• Carolina Kidney Associates PA
• Carolina Lifestyles Senior Care, Inc (Home Instead Senior Care)
• Carolina Medical Health Supply LLC
• Carolina Medicorp Enterprises Inc (Novant Health Express Care)

• Ophthalmology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.