DR. LARRY BRENT WILSHIRE


Address: 6 Office Park Dr, Jacksonville, NC 28546-7325
Phone: 9103553937

DR. LARRY BRENT WILSHIRE (NPI# 1326065848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326065848
Entity Type Individual
Full Name DR. LARRY BRENT WILSHIRE
Other Name DR. L. BRENT WILSHIRE
Credential MD
Practice Address 6 Office Park Dr
Jacksonville
NC 28546-7325
Mailing Address 201 David Pl
Jacksonville
NC 28540-4546
Practice Telephone 9103553937
Practice Fax Number 9103476663
Mailing Telephone 9103462085
Mailing Fax Number 9103476663
Enumeration Date 2006-07-17
Last Update Date 2007-11-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 27869 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BLUECROSS BLUESHIELD 88165 01
NC 8988165 05

Office Location

Street Address 6 OFFICE PARK DR
City JACKSONVILLE
State NC
Zip Code 28546-7325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457548455 Heath Brian Ergas Internal Medicine 6 Office Park Dr, Jacksonville, NC 28546-7325 2007-10-03
1689768236 Carol Maruna Smith Optometrist 6 Office Park Dr, Jacksonville, NC 28546-7325 2006-10-03
1649298548 Onslow Ophthalmology, Pa Optometrist 6 Office Park Dr, Jacksonville, NC 28546-7325 2006-07-18
1033136551 Carol Ann Johnston Ophthalmology 6 Office Park Dr, Jacksonville, NC 28546-7325 2006-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
Find all providers in zip 28546

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790216729 Kumar Sambhav Ophthalmology 580 W 8th Street, Tower - II, 3rd Floor, Department of Ophthalmology, Jacksonville, FL 32209 2017-03-22
1306227335 Sepehr Bahadorani Ophthalmology 580 W 8th St Fl Towerii3, Uf College of Medicine - Jacksonville, Jacksonville, FL 32209-6533 2015-06-16
1467854240 Mohammed Ali Tawfik Alyouzbaki Ophthalmology 6054 Wateredge Drive South, Jacksonville, FL 32211 2014-09-23
1841580214 Chad Michael Kaplan Ophthalmology 653 West 8th St, Jacksonville, FL 32209 2011-04-19
1730479650 Abdallah Mohamed Jeroudi Ophthalmology 2639 Oak St, Jacksonville, FL 32204 2011-04-12
1881915619 Omar Gayasaddin Ophthalmology 7051 Southpoint Pkwy S Fl 3, Jacksonville, FL 32216-8713 2010-06-16
1952630121 Ralph Alphonse Sawyer Ophthalmology 10061 Lakes End Ct, Jacksonville, FL 32256-4112 2009-12-16
1326193020 Midwest Eye Associates, LLC Ophthalmology 1122 Veterans Dr, Suite B, Jacksonville, IL 62650-4032 2007-01-24
1023118379 Jeffrey Herschel Levenson Ophthalmology 751 Oak St Ste 200, Jacksonville, FL 32204-3361 2006-09-25
1942317680 Gerard A. Coluccelli Ophthalmology 931 Brookwood Rd, Jacksonville, FL 32207-4211 2006-08-25
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 28546

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Dataset Information

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.

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