Cape Fear Optometric Clinic Pa

LBN: Cape Fear Optometric Clinic Pa
Cape Fear Optometric Clinic Pa is an health care organization with primary practice located at 1613 Owen Dr , Fayetteville NC 28304-3425. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cape Fear Optometric Clinic Pa can be contacted via phone (910) 484-6178, or through Philbrick, William Charless via phone (910) 484-6178.

Contact Information

Primary practice address
1613 Owen Dr Fayetteville NC 28304-3425
Phone: (910) 484-6178
Fax: (910) 323-3048
Website:
Map and Directions
Authorized official contact:
Name: Philbrick, William Charless Doctor of Optometry (OD)
Phone: (910) 484-6178

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 844 North Carolina

Profile Details

NPI number 1679535504
LBN Legal business name Cape Fear Optometric Clinic Pa
DBA Doing business as
Authorized official Philbrick, William Charless Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Apr 17th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679535504 NPPES
North Carolina MEDICAID 890912C
North Carolina MEDICAID 8909717

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