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DR. LARRY BRENT WILSHIRE MD NPI 1326065848


NPI Information

NPI: 1326065848
Provider Name: DR. LARRY BRENT WILSHIRE, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
6 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 355-3937
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DR. Larry Brent Wilshire, MD is an ophthalmology in Jacksonville, NC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Larry Brent Wilshire, MD NPI is 1326065848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546-325
Phone: (910) 355-3937
Fax: (910) 347-6663

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/27/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology27869NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
188165OTHERNORTH CAROLINABLUECROSS BLUESHIELD
2203627BMEDICARE ID-TYPE UNSPECIFIED
38988165MEDICAIDNORTH CAROLINA
41314390001MEDICARE NSC
5C86812MEDICARE UPIN

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: 5/5/2024

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