North State Optics Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

336 Issued in NC

Legal business name

NORTH STATE OPTICS INC

Practice address

4336 Fayetteville Rd
Lumberton, NC 28358-2677

Phone

(910) 738-9335

Fax

(910) 738-2238

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Cherry Broughton Hilburn

Title

President of Corporation Optician

Phone

(910) 738-9335

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1912978727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283591168",
            "telephone_number": "910-738-9335",
            "fax_number": "910-738-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582677",
            "telephone_number": "910-738-9335",
            "fax_number": "910-738-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE OPTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "HILBURN",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_middle_name": "BROUGHTON",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION OPTICIAN",
        "authorized_official_telephone_number": "910-738-9335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "01838",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8801750",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.