Conekin, George M.

Conekin, George M. is an sole proprietor health care provider with primary practice located at 200 Doctors Dr Suite K, Jacksonville NC 28546-6308. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Conekin, George M. can be contacted via phone (910) 353-0541.

Contact Information

Primary practice address
200 Doctors Dr Suite K Jacksonville NC 28546-6308
Fax: (910) 353-5353
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1181 North Carolina
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1181 North Carolina
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1181 North Carolina
Eye and Vision Services Providers / Pediatrics 152WP0200X 1181 North Carolina
Eye and Vision Services Providers / Sports Vision 152WS0006X 1181 North Carolina
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1181 North Carolina
Eye and Vision Services Providers / Occupational Vision 152WX0102X 1181 North Carolina

Profile Details

NPI number 1427016435
LBN Legal business name Conekin, George M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Dec 12th, 2008 - about 16 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 1427016435 NPPES
North Carolina Other 09328 BCBS ID#
North Carolina MEDICAID 7909328 BCBS ID#
North Carolina Other 170000072 BCBS ID#
North Carolina Other 561719600 BCBS ID#
North Carolina Other Y1605 BCBS ID#

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