Ckfogleman OD, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CKFOGLEMAN OD, PLLC

Doing business as

Wilmington Optometry

Practice address

1205 Floral Pkwy
Wilmington, NC 28403-6216

Phone

(910) 791-6086

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By 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. Caroline Kaleel Fogleman, ODNPI 1427570639

Title

Optometrist

Phone

(910) 791-6086

Specialties & licenses 1

Addresses

Other names 2

• Wilmington Optometry Doing business as
• Wilmington Optometry, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline Kaleel Fogleman, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1427570639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1790388973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 RED BERRY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092522",
            "telephone_number": "704-778-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 FLORAL PKWY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036216",
            "telephone_number": "910-791-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKFOGLEMAN OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "FOGLEMAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "KALEEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "910-791-6086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilmington Optometry, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Tinley Cipalla, MA CCC-SLP
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• Circle of Courage Ultimate Support Network, LLC
• Serban Gabriel Cismarescu, DMD
• Kylie Citty
• Michele Clancy, MD
• Thomas V Clancy, MD
• Anthony Clare, PA-C
• Clarion Business Services LLC (Clinical Assessments & Mediation Services)
• Clarity Counseling Center

• Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.