Active NPI
Wilmington Eye, P.a.
- Ophthalmology Physician
- Wilmington, NC
National Provider Identifier
1831280205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902672 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
75 Emerson Bay Rd
Ste 106
Carolina Shores, NC 28467
5211 Eason St
Ste 100
Southport, NC 28461
5211 Eason St
Southport, NC 28461
Phone (910) 454-0563
6740 Rock Spring Rd
Ste 100
Wilmington, NC 28405
Phone (910) 777-8254
1025 Medical Center Dr
Ste 201
Wilmington, NC 28401
Phone (910) 338-2773
1729 Medical Park
#P
Wilmington, NC 28403
1025 Medical Center Dr
Ste 101
Wilmington, NC 28401
9020 Senca Dr
Wilmington, NC 28411
Phone (901) 264-9317
1025 Medical Center Dr
Ste 106
Wilmington, NC 28401
Interoperability endpoints
- ccovington@wileye.intellechartdirect.net
- tjenkins@wileye.intellechartdirect.net
- jgreene@wileye.intellechartdirect.net
- tmckinzie@wileye.intellechartdirect.net
- mshipley@wileye.intellechartdirect.net
- csmith@wileye.intellechartdirect.net
- hdemarino@wileye.intellechartdirect.net
- rayuso@wileye.intellechartdirect.net
- hcox@wileye.intellechartdirect.net
- csprings@wileye.intellechartdirect.net
- efuchs@wileye.intellechartdirect.net
- mhoffman@wileye.intellechartdirect.net
- gkelley@wileye.intellechartdirect.net
- kleone@wileye.intellechartdirect.net
- mpolomsky@wileye.intellechartdirect.net
- aoester@wileye.intellechartdirect.net
- mbrillhart@wileye.intellechartdirect.net
- tpickens@wileye.intellechartdirect.net
- rvandervaart@wileye.intellechartdirect.net
- morban@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.
-
- Ophthalmology Physician
- Wilmington, NC
- NPI 1093836215
NC, Ophthalmology
-
- Ophthalmology Physician
- Wilmington, NC
- NPI 1760477806
NC, Ophthalmology
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902672",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Wilmington Dry Needling Company
- Wilmington Ear Nose & Throat Assoc., P.a.
- Wilmington Endocrinology PA
- Wilmington Eye Care Associates OD
- Wilmington Eye Surgery Center, LLC
- Wilmington Eye, P.a.
- Wilmington Family Physicians
- Wilmington Family Physicians PA
- Wilmington Family Physicians PA
- Wilmington Family Practice
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.