Retina Of Coastal Carolina, Pllc
LBN: Retina Of Coastal Carolina, Pllc
Retina Of Coastal Carolina, Pllc is an health care organization with primary practice located at 1801 New Hanover Medical Park Dr , Wilmington NC 28403-5351. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Retina Of Coastal Carolina, Pllc can be contacted via phone (910) 254-2023, or through Westra, Igor via phone (910) 254-2023.
Contact Information
Primary practice address
1801 New Hanover Medical Park Dr
Wilmington NC 28403-5351
Phone: (910) 254-2023
Fax: (910) 254-0242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ||
| Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease | 207WX0108X |
Profile Details
| NPI number | 1326089442 |
|---|---|
| LBN Legal business name | Retina Of Coastal Carolina, Pllc |
| DBA Doing business as | |
| Authorized official | Westra, Igor Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 10th, 2023 - about last year |
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 | 1326089442 | NPPES |
| South Carolina | MEDICAID | QPA675 | |
| South Carolina | Other | 01315 | |
| South Carolina | MEDICAID | 790129C |
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