AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA (NPI# 1285856690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285856690 |
| Entity Type | Organization |
| Organization Name | AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA |
| Practice Address |
2047 Valleygate Dr Fayetteville NC 28304-3688 |
| Mailing Address |
5111 Schley Rd Hillsborough NC 27278-6845 |
| Practice Telephone | 9195904432 |
| Mailing Telephone | 9195904432 |
| Mailing Fax Number | 9196441749 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | DR. FRANK HOWARD CHRISTENSEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9199331294 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89-22474 | 05 |
| Street Address |
2047 VALLEYGATE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871521625 | Michael George Woodcock | Ophthalmology | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-06-29 |
| 1043728843 | Ivette Elisa Hurtado | Physician Assistant | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2018-01-15 |
| 1487176509 | Meagan Tipton | Optometrist | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2017-07-11 |
| 1114462819 | Joshua Smeby | Physician Assistant | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2017-01-04 |
| 1407018658 | Brandon N Phillips | Ophthalmology | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2008-06-30 |
| 1043416597 | Carolina Optical Partners | Eyewear Supplier (Equipment, not the service) | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2007-06-22 |
| 1194920454 | Carolina Optical Partners | Eyewear Supplier (Equipment, not the service) | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2007-06-18 |
| 1942378187 | Vision International Pa | Optometrist | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338030 | Natural State Aesthetics Pllc | Ophthalmology | 613 N Willow Ave, Fayetteville, AR 72701-3550 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346535283 | Oculofacial Plastic Surgery Consultants Pa | Ophthalmology | 3731 Nw Cary Pkwy Ste 101, Cary, NC 27513 | 2011-06-17 |
| 1023546876 | Raleigh Ophthalmic Associates | Ophthalmology | 2709 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6462 | 2017-05-24 |
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.