SOUTHEASTERN EYE CARE, PA (NPI# 1407843014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407843014 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN EYE CARE, PA |
| Practice Address |
106 Farm Brook Dr Suite B Lumberton NC 28358-2178 |
| Practice Telephone | 9107384856 |
| Practice Fax Number | 9107387999 |
| Mailing Telephone | 9107384856 |
| Mailing Fax Number | 9107387999 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | DR. TIMOTHY SCOTT MOUSER (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 9107384856 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RR MEDICARE | DC2898 | 01 |
| NC | 8913746 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770081077 | Southeastern Eye Care, Pa | Physical Therapist | 106 Farm Brook Dr, Lumberton, NC 28358-2178 | 2018-02-01 |
| Street Address |
106 FARM BROOK DR SUITE B |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770081077 | Southeastern Eye Care, Pa | Physical Therapist | 106 Farm Brook Dr, Lumberton, NC 28358-2178 | 2018-02-01 |
| 1811018906 | Sarah Ervin Mouser | Audiologist | 106 Farm Brook Dr, Ste B, Lumberton, NC 28358-2178 | 2007-04-03 |
| 1487725578 | Windy Dotson Christy | Physician Assistant | 106 Farm Brook Dr, Suite A, Lumberton, NC 28358-2178 | 2006-11-13 |
| 1528154010 | Arlene D. Britt | Nurse Practitioner | 106 Farm Brook Dr, Suite A, Lumberton, NC 28358 | 2006-10-04 |
| 1376507715 | Southeastern Regional Medical Center | Clinic/Center | 106 Farm Brook Dr, Suite A, Lumberton, NC 28358-2178 | 2006-04-13 |
| 1720075336 | Timothy Scott Mouser | Ophthalmology | 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043680630 | Southeastern Regional Physician Services | Clinic/Center | 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 | 2015-09-25 |
| 1093960262 | Hamilton Therapeutic Services, L.l.c | Clinic/Center | 3501 Fayetteville Rd, Lumberton, NC 28358-2709 | 2008-12-01 |
| 1932389582 | Southeastern Regional Medical Center | Clinic/Center | 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324 | 2007-11-13 |
| 1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
| 1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
| 1376065854 | Southeastern Regional Physician Services | Clinic/Center | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2017-07-17 |
| 1013453265 | Tad Group LLC | Clinic/Center | 1233 S Main St, Lumberton, TX 77657-7390 | 2017-01-12 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1255790507 | Southeastern Regional Physician Services | Clinic/Center | 4307 Fayetteville Rd, Lumberton, NC 28358-2676 | 2016-02-15 |
| 1831425719 | Southeastern Regional Medical Center | Clinic/Center | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2009-10-27 |
| Find all providers in LUMBERTON | ||||
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| 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.