Front Street Optometric Care, Pa
LBN: East Carolina Optometric Care, Pa
Front Street Optometric Care, Pa is an health care organization with primary practice located at 2322 James B White Hwy N , Whiteville NC 28472. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
East Carolina Optometric Care, Pa can be contacted via phone (910) 914-6442, or through Jackson, Tiffany L. via phone (910) 540-1969.
Contact Information
Primary practice address
2322 James B White Hwy N
Whiteville NC 28472
Phone: (910) 914-6442
Fax:
Website:
Authorized official contact:
Name: Jackson, Tiffany L. Doctor of Optometry (OD)
Phone: (910) 540-1969
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1900 | North Carolina |
Profile Details
| NPI number | 1558543884 |
|---|---|
| LBN Legal business name | East Carolina Optometric Care, Pa |
| DBA Doing business as | Front Street Optometric Care, Pa |
| Authorized official | Jackson, Tiffany L. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Nov 14th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558543884 | NPPES |
| North Carolina | Other | 1900 | STATE LICENSE |
| North Carolina | MEDICAID | 89093N2 | STATE LICENSE |
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