FINAL PHASE LLC (NPI# 1477792067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477792067 |
Entity Type | Organization |
Organization Name | FINAL PHASE LLC |
Other Organization Name | JAMES E HOMER, OCULARIST |
Practice Address |
1044 Cedar Point Blvd Cedar Point NC 28584-8019 |
Mailing Address |
159 Deepwater Dr Stella NC 28582-9741 |
Practice Telephone | 2523935134 |
Practice Fax Number | 2523936930 |
Mailing Telephone | 2523935134 |
Mailing Fax Number | 2523936930 |
Enumeration Date | 2009-02-05 |
Last Update Date | 2013-07-10 |
Authorized Official Name | JAMES E HOMER (PRESIDENT) |
Authorized Official Telephone | 2523935134 |
Authorized Official Credential | OCULARIST |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
021642 | NC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS BLUE SHIELD OF NC | 048E0 | 01 |
NC | 7705142 | 05 |
Other Name | Type Code |
---|---|
JAMES E HOMER, OCULARIST | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Final Phase LLC | 1666 Darren Circle, Portsmouth, Virginia 23701 |
Street Address |
1044 CEDAR POINT BLVD |
City | CEDAR POINT |
State | NC |
Zip Code | 28584-8019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639247968 | James Ellsworth Homer | Technician/Technologist | 1044 Cedar Point Blvd, Cedar Point, NC 28584-8019 | 2006-12-04 |
1568602688 | Esther L Homer | Technician/Technologist | 1044 Cedar Point Blvd, Cedar Point, NC 28584-8019 | 2009-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609373562 | Haldis Andersen | Dentist | 202 Mclean Blvd, Cape Carteret, NC 28584 | 2018-04-08 |
1740736560 | Savannah Corey | Social Worker | 20 Creekside Woods Drive, Swansboro, NC 28584 | 2016-08-31 |
1780919498 | Hunter Creech Brown | Pharmacist | 319 W.b.mclean Dr., Cape Carteret, NC 28584 | 2009-10-14 |
1518139807 | Julie E. Marion | Counselor | 624-2 W Corbett Ave, Crystal Coast Counseling, Swansboro, NC 28584 | 2008-03-27 |
1174795462 | Crystal Coast Counseling, Pllc | Counselor | 624-2 West Corbett Ave, Swansboro, NC 28584 | 2008-03-27 |
1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
1750485165 | Anderson and Slack and Associates | Dentist | 718a West Corbett Ave, Swansboro, NC 28584 | 2006-09-08 |
1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
1912017013 | Gina C Mancini | Dentist | 718 A West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
1962512368 | Doris J Black | Dentist | 200 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
Find all providers in zip 28584 |
Taxonomy Code | 156FX1700X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ocularist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639247968 | James Ellsworth Homer | Technician/Technologist | 1044 Cedar Point Blvd, Cedar Point, NC 28584-8019 | 2006-12-04 |
1568602688 | Esther L Homer | Technician/Technologist | 1044 Cedar Point Blvd, Cedar Point, NC 28584-8019 | 2009-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396994364 | Adam David Marion | Technician/Technologist | 100 Deepwater Dr, Stella, NC 28582-9741 | 2008-09-15 |
1770701526 | Michael William Boyd | Technician/Technologist | 1736 Maple Ave, Burlington, NC 27215-6846 | 2007-04-24 |
1619941168 | Ocular Prosthetics Inc | Technician/Technologist | 4557 Technology Dr, #5, Wilmington, NC 28405-2145 | 2006-02-13 |
1043691959 | Lisa C Johnston | Technician/Technologist | 7476 Old Fairground Rd, Benson, NC 27504-6105 | 2015-06-16 |
1881619633 | Robert L Henderlite | Technician/Technologist | 8426 Medical Plaza Dr, Suite 500, Charlotte, NC 28262-9746 | 2006-07-13 |
City | CEDAR POINT |
Zip Code | 28584 |
Please comment or provide details below to improve the information on FINAL PHASE LLC.
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.