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G. M. CONEKIN III OD PA NPI 1447540356


NPI Information

NPI: 1447540356
Provider Name: G. M. CONEKIN, III, OD, PA

Doing Business As: FAMILY EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
200 DOCTORS DR
SUITE K
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-0541
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G. M. CONEKIN, III, OD, PA is an optometrist in Jacksonville, NC. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. G. M. CONEKIN, III, OD, PA NPI is 1447540356. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Eye Care.

The provider's business location address is:

200 DOCTORS DR
SUITE K
JACKSONVILLE, NC
ZIP 28546-310
Phone: (910) 353-0541
Fax: (910) 353-5353

The provider's authorized official is George M. Conekin .
The authorized official title is Owner and has the following contact phone number (910) 353-0541.

The enumeration date for this NPI number is 4/12/2011 and was last updated on 4/12/2011.


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
1152W00000XOptometrist2082NORTH CAROLINANo
2152W00000XOptometrist2122NORTH CAROLINANo
3152WC0802XOptometristCorneal and Contact Management2082NORTH CAROLINANo
4152WC0802XOptometristCorneal and Contact Management2122NORTH CAROLINANo
5152WL0500XOptometristLow Vision Rehabilitation1181NORTH CAROLINANo
6152WP0200XOptometristPediatrics1181NORTH CAROLINANo
7152WP0200XOptometristPediatrics2082NORTH CAROLINANo
8152WP0200XOptometristPediatrics2122NORTH CAROLINANo
9152WS0006XOptometristSports Vision1181NORTH CAROLINANo
10152WV0400XOptometristVision Therapy1181NORTH CAROLINANo
11152W00000XOptometrist1181NORTH 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
1246645MEDICARE PINNORTH CAROLINA
20131800001MEDICARE NSCNORTH CAROLINA
3170000072OTHERNORTH CAROLINARAILROAD MEDICARE
4=========OTHERNORTH CAROLINATRICARE/HEALTH NET
57909328MEDICAIDNORTH CAROLINA
609328OTHERNORTH CAROLINABCBS
7T83389MEDICARE UPINNORTH CAROLINA
8Y1605OTHERNORTH CAROLINABLIND COMMISSION

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.