Homer, James Ellsworth

Homer, James Ellsworth is an sole proprietor health care provider with primary practice located at 1044 Cedar Point Blvd , Cedar Point NC 28584-8019. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ocularist, Suppliers / Prosthetic/Orthotic Supplier. Eye and Vision Services Providers / Ocularist is his primary health care specialty. Homer, James Ellsworth can be contacted via phone (800) 579-6363.

Contact Information

Primary practice address
1044 Cedar Point Blvd Cedar Point NC 28584-8019
Phone: (800) 579-6363
Fax: (252) 393-6930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639247968
LBN Legal business name Homer, James Ellsworth
Credentials OCULARIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639247968 NPPES
North Carolina Other 048E0 BLUE CROSS BLUE SHIELD OF NC
North Carolina Other 260464169 BLUE CROSS BLUE SHIELD OF NC
North Carolina MEDICAID 7705142 BLUE CROSS BLUE SHIELD OF NC

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