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
Phone: (910) 353-0541
Fax: (910) 353-5353
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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