Organization Active NPI

Motsinger Advanced Eye Care, O.D., P.L.L.C.

  • Optometrist
  • Burgaw, NC
National Provider Identifier
1841285673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1869 Issued in NC
Legal business name
MOTSINGER ADVANCED EYE CARE, O.D., P.L.L.C.
Practice address
205 US Highway 117 S
Ste. 4
Burgaw, NC 28425-6704
Phone
(910) 259-9230
Fax
(910) 259-9215
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Perry C. Motsinger, O.D.
Title
Owner/Optometrist
Phone
(910) 259-9230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1869 NC Primary

Addresses

Primary practice location

205 US Highway 117 S
Ste. 4
Burgaw, NC 28425-6704

Mailing address

205 US Highway 117 S
Ste. 4
Burgaw, NC 28425-6704
Phone (910) 259-9230

Other identifiers 1

IdentifierTypeStateIssuer
89093P4MedicaidNC

National Provider Directory

National Provider Directory

Locations

126 W Main St
Atkinson, NC 28421
Phone (910) 283-7783

205 US Highway 117 S
Ste 4
Burgaw, NC 28425
Phone (910) 259-9230

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841285673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 US HIGHWAY 117 S",
            "address_2": "STE. 4",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284256704",
            "telephone_number": "910-259-9230",
            "fax_number": "910-259-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 US HIGHWAY 117 S",
            "address_2": "STE. 4",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284256704",
            "telephone_number": "910-259-9230",
            "fax_number": "910-259-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTSINGER ADVANCED EYE CARE, O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTSINGER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "910-259-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093P4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.