SOUTHEASTERN EYE CARE PA NPI 1407843014

NPI Information

  • NPI: 1407843014
  • Provider Name: SOUTHEASTERN EYE CARE, PA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 106 FARM BROOK DR
    SUITE B
    LUMBERTON, NC
    ZIP 28358
  • Phone: (910) 738-4856

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NPI Details

SOUTHEASTERN EYE CARE, PA is a clinic center in Lumberton, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHEASTERN EYE CARE, PA NPI is 1407843014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 FARM BROOK DR
SUITE B
LUMBERTON, NC
ZIP 28358-178
Phone: (910) 738-4856
Fax: (910) 738-7999

The provider's authorized official is Timothy Scott Mouser .
The authorized official title is Ophthalmologist and has the following contact phone number (910) 738-4856.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 3/13/2025.

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
1207W00000XOphthalmologyNo
2261Q00000XClinic/CenterNORTH 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
18913746MEDICAIDMINNESOTA
2DC2898OTHERNORTH CAROLINARR MEDICARE

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: 11/21/2025

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