NPIMap

Organization Active NPI

Southeastern Eye Care, PA

  • Physical Therapist
  • Lumberton, NC
National Provider Identifier
1770081077
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16942 Issued in NC
Legal business name
SOUTHEASTERN EYE CARE, PA
Practice address
106 Farm Brook Dr
Lumberton, NC 28358-2178
Phone
(910) 738-4856
Fax
(910) 738-7999
NPI assigned
Feb 1, 2018
Organization subpart
Yes
Parent organization
SOUTHEASTERN EYE CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Dr. Timothy Scott Mouser, MDNPI 1720075336
Title
MD, Owner
Phone
(910) 738-4856

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P16942 NC Primary

Addresses

Primary practice location

106 Farm Brook Dr
Lumberton, NC 28358-2178

Mailing address

106 Farm Brook Dr Ste B
Lumberton, NC 28358-2178
Phone (910) 738-4856

Other identifiers 1

IdentifierTypeStateIssuer
2340498OtherNCMEDICARE

National Provider Directory

National Provider Directory
Part of
Southeastern Eye Care PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1770081077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "910-738-4856",
            "fax_number": "910-738-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "910-738-4856",
            "fax_number": "910-738-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN EYE CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN EYE CARE, PA",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "MOUSER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "910-738-4856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2340498",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.