Cape Fear Optometric Clinic PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

844 Issued in NC

Legal business name

CAPE FEAR OPTOMETRIC CLINIC PA

Practice address

1613 Owen Dr
Fayetteville, NC 28304-3425

Phone

(910) 484-6178

Fax

(910) 323-3048

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Charless Philbrick, OD

Title

President Optometrist

Phone

(910) 484-6178

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1679535504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-484-6178",
            "fax_number": "910-323-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-484-6178",
            "fax_number": "910-323-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR OPTOMETRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "PHILBRICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLESS",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "910-484-6178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890912C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909717",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Fear Family Medical Care, PA
• Cape Fear Family Medical Care,PA
• Cape Fear Neonatology
• Cape Fear Neurology Associates PA
• Cape Fear Neurosurgery
• Cape Fear Oral and Maxillofacial Surgery
• Cape Fear Orthopaedic Clinic, P.a.
• Cape Fear Orthopaedic Clinic, PA
• Cape Fear Orthotics & Prosthetics, Inc.
• Cape Fear Pediatric Speech Therapy Services

• Optometrist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.