Organization Active NPI

Wilmington Eye, P.a.

  • Ophthalmology Physician
  • Wilmington, NC
National Provider Identifier
1831280205
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WILMINGTON EYE, P.A.
Practice address
1729 New Hanover Medical Park Drive
Wilmington, NC 28403
Phone
(910) 763-3601
Fax
(910) 763-4608
NPI assigned
Sep 28, 2006
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Mrs. Kathy Erickson, MBA
Title
Executive Director
Phone
(910) 763-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1729 New Hanover Medical Park Drive
Wilmington, NC 28403

Mailing address

1729 New Hanover Medical Park Drive
Wilmington, NC 28403
Phone (910) 763-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050715000871 NC Part B Supplier - Clinic/Group Practice 8921034323 Receives reassigned benefits from 29 practitioners
Practice locations: Jacksonville, NC; Wilmington, NC; Whiteville, NC; Southport, NC; Leland, NC; Hampstead, NC; Elizabethtown, NC; Carolina Shores, NC…

National Provider Directory

National Provider Directory

Locations

205 US Highway 117 S
Burgaw, NC 28425
Phone (910) 736-3601

75 Emerson Bay Rd
Carolina Shores, NC 28467
Phone (910) 579-8363

75 Emerson Bay Rd
Ste 106
Carolina Shores, NC 28467

5211 Eason St
Southport, NC 28461
Phone (910) 454-0563

5211 Eason St
#1
Southport, NC 28461
Phone (910) 454-0563

5211 Eason St
Ste 100
Southport, NC 28461

1025 Medical Center Dr
Ste 101
Wilmington, NC 28401

1025 Medical Center Dr
Ste 106
Wilmington, NC 28401

1729 Medical Park
#P
Wilmington, NC 28403

9020 Senca Dr
Wilmington, NC 28411
Phone (901) 264-9317

Interoperability endpoints

  • Direct secure messaging: abaden@wileye.intellechartdirect.net
  • Direct secure messaging: abuckley@wileye.intellechartdirect.net
  • Direct secure messaging: aoester@wileye.intellechartdirect.net
  • Direct secure messaging: ccovington@wileye.intellechartdirect.net
  • Direct secure messaging: csmith@wileye.intellechartdirect.net
  • Direct secure messaging: csprings@wileye.intellechartdirect.net
  • Direct secure messaging: ctisdale@wileye.intellechartdirect.net
  • Direct secure messaging: efuchs@wileye.intellechartdirect.net
  • Direct secure messaging: gescaravage@wileye.intellechartdirect.net
  • Direct secure messaging: gkelley@wileye.intellechartdirect.net
  • Direct secure messaging: hcox@wileye.intellechartdirect.net
  • Direct secure messaging: hdemarino@wileye.intellechartdirect.net
  • Direct secure messaging: jgreene@wileye.intellechartdirect.net
  • Direct secure messaging: kleone@wileye.intellechartdirect.net
  • Direct secure messaging: lgeerts@wileye.intellechartdirect.net
  • Direct secure messaging: mbrillhart@wileye.intellechartdirect.net
  • Direct secure messaging: mhoffman@wileye.intellechartdirect.net
  • Direct secure messaging: morban@wileye.intellechartdirect.net
  • Direct secure messaging: mpolomsky@wileye.intellechartdirect.net
  • Direct secure messaging: mshipley@wileye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1831280205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 NEW HANOVER MEDICAL PARK DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-763-3601",
            "fax_number": "910-763-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 NEW HANOVER MEDICAL PARK DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-763-3601",
            "fax_number": "910-763-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON EYE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-763-3601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

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