PROFESSIONAL EYE CARE OPTOMETRY, PA (NPI# 1053972877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053972877 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EYE CARE OPTOMETRY, PA |
| Practice Address |
432 W Broad St Elizabethtown NC 28337 |
| Mailing Address |
3701 S Main St Hope Mills NC 28348-1958 |
| Practice Telephone | 9109913003 |
| Practice Fax Number | 9109913057 |
| Mailing Telephone | 9104230700 |
| Mailing Fax Number | 9104230974 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | ENID ROSARIO-MCCULLOUGH (CREDENTIALING) |
| Authorized Official Telephone | 9104230700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659823813 | Professional Eye Care Optometry, Pa | Optometrist | 3551 Dunn Rd Ste 103, Eastover, NC 28312-8794 | 2016-11-03 |
| Street Address |
432 W BROAD ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263174 | Borders Eyecare Specialists Pllc | Optometrist | 611 W Poplar St Ste C4a, Elizabethtown, KY 42701-2464 | 2019-06-11 |
| 1891281994 | Sara Rene' Borders | Optometrist | 1609 N Dixie Ave, Elizabethtown, KY 42701-6473 | 2018-07-02 |
| 1467948588 | Britt Austin Borders | Optometrist | 1609 N Dixie Ave Ste 100, Elizabethtown, KY 42701-7494 | 2018-07-02 |
| 1053793281 | Christian Scott Zechman | Optometrist | 282 Maytown Rd Ste 100, Elizabethtown, PA 17022-9302 | 2015-06-24 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| 1598976581 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 1676 S Market St, Elizabethtown, PA 17022-2853 | 2007-05-24 |
| 1336299684 | Bladen Eye Center, O.d., P.a. | Optometrist | 409 East Broad Street, Elizabethtown, NC 28337-2589 | 2007-01-11 |
| 1114076288 | Teresa Ann Wise | Optometrist | 2904 Dolphin Dr, Elizabethtown, KY 42701-7102 | 2007-01-09 |
| 1194818971 | Rebman Eyecare, P.C. | Optometrist | 282 Maytown Rd, Ste 100, Elizabethtown, PA 17022-9313 | 2006-10-02 |
| 1053347310 | Dr. Sasha Radford, LLC | Optometrist | 313 Nicholas Ridge Dr, Suite E-7, Elizabethtown, KY 42701-4201 | 2006-06-25 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.