INTRACOASTAL EYE, PLLC (NPI# 1235526229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235526229 |
| Entity Type | Organization |
| Organization Name | INTRACOASTAL EYE, PLLC |
| Practice Address |
6740 Rock Spring Rd Ste 100 Wilmington NC 28405 |
| Mailing Address |
6740 Rock Spring Rd Ste 100 Wilmington NC 28405-3186 |
| Practice Telephone | 9107778254 |
| Practice Fax Number | 9107691246 |
| Mailing Telephone | 9107778254 |
| Mailing Fax Number | 9107691246 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | DR. GREGORY JAMES JOHNSON (MEMBER/MANAGER) |
| Authorized Official Telephone | 9107778254 |
| Authorized Official Credential | M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 200500742 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
6740 ROCK SPRING RD STE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063455020 | Gregory James Johnson | Ophthalmology | 6740 Rock Spring Rd Ste 100, Wilmington, NC 28405 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263566 | Center for Advanced Eye Care | Ophthalmology | 5301 Limestone Rd Ste 122, Wilmington, DE 19808-1251 | 2020-04-07 |
| 1205249539 | Ochsner Eye, Pa | Ophthalmology | 700 Military Cutoff Rd, Suite 202, Wilmington, NC 28405-8380 | 2014-06-04 |
| 1386994259 | John Wahl | Ophthalmology | 1904 Dorcas Ln, Wilmington, DE 19806-1164 | 2012-09-18 |
| 1669784849 | John Mcinnes | Ophthalmology | 424 Marianna Dr, Wilmington, DE 19803-1815 | 2010-07-05 |
| 1548406242 | David C Larned Md Pa | Ophthalmology | 2300 Pennsylvania Ave Ste 3a, Wilmington, DE 19806-1379 | 2008-12-30 |
| 1457513640 | Stephen Hein | Ophthalmology | 3039 W State Route 73, Wilmington, OH 45177-9287 | 2008-06-28 |
| 1174797666 | Carolina Glaucoma Pa | Ophthalmology | 1907 S 17th St Ste 3, Wilmington, NC 28401-6656 | 2008-04-16 |
| 1306937768 | Kathleen C Leone | Ophthalmology | 1729 New Hanover Medical Park Drive, Wilmington, NC 28403 | 2006-09-28 |
| 1306945795 | Frederick Clarence Butler Jr. | Ophthalmology | 3749 Reston Ct, Wilmington, NC 28403-6170 | 2006-09-21 |
| 1821107772 | Mary Elizabeth Price | Ophthalmology | 1907 S 17th Street, Suite 3, Wilmington, NC 28401-6656 | 2006-08-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
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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.