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WILMINGTON OPTICAL NPI 1659541944


NPI Information

NPI: 1659541944
Provider Name: WILMINGTON OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 34D1092381

Address:
8068 MARKET ST
WILMINGTON, NC
ZIP 28411
Phone: (910) 686-2150
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WILMINGTON OPTICAL is an eyewear supplier in Wilmington, NC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WILMINGTON OPTICAL NPI is 1659541944. The provider is registered as an organization entity type.

The provider's business location address is:

8068 MARKET ST
WILMINGTON, NC
ZIP 28411-384
Phone: (910) 686-2150

The provider's authorized official is Kathryn Brown Cordle .
The authorized official title is Owner/optician and has the following contact phone number (910) 686-2150.

The CLIA number assigned to this NPI record is 34D1092381 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier693NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11323580001MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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