PRIMARY VISION CARE CENTER, O.D., P.A. (NPI# 1497964787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497964787 |
| Entity Type | Organization |
| Organization Name | PRIMARY VISION CARE CENTER, O.D., P.A. |
| Practice Address |
13520 Nc Hwy 50 Surf City NC 28445 |
| Mailing Address |
Po Box 2429 Surf City NC 28443-2149 |
| Practice Telephone | 9108030555 |
| Practice Fax Number | 9103383160 |
| Mailing Telephone | 9108030555 |
| Mailing Fax Number | 9103383160 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | DR. PHILLIP CARL TART (PRESIDENT) |
| Authorized Official Telephone | 9108030555 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1127 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 09890 | 01 |
| NC | 8909890 | 05 | |
| NC | UNITED HEALTH CARE | 2200320 | 01 |
| Street Address |
13520 NC HWY 50 |
| City | SURF CITY |
| State | NC |
| Zip Code | 28445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246304 | Christopher Burkett | Dietitian, Registered | Stone Bay Base Rr136, Fpo, AA 28445 | 2019-03-27 |
| 1154733707 | Valjoy Beach Care, P.a. | Physician Assistant | 204-d N New River Drive, Surf City, NC 28445 | 2014-05-29 |
| 1487078150 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Fun Center Dr, Surf City, NC 28445 | 2014-02-14 |
| 1114272440 | Jennifer Nicole Buchanan | Pharmacist | 13500 Nc Hwy 50/210, Surf City, NC 28445 | 2012-07-24 |
| 1891027652 | Selena A Kennaday | Pharmacist | 420 Fun Center Drive, Walmart Pharmacy, Surf City, NC 28445 | 2010-02-04 |
| 1922120260 | Jim Lankford White | Dentist | 119 Holly Street, Holly Ridge, NC 28445 | 2007-04-06 |
| 1215082540 | Beach Care Pa | Nurse Practitioner | 204 D New River Drive, Surf City, NC 28445 | 2007-01-25 |
| 1023163748 | Sandra Thompson Brown | Counselor | 114 Dunes Ct., Surf City, NC 28445 | 2007-01-24 |
| 1972657302 | Family Urgent Care of America, Inc | Non-Pharmacy Dispensing Site | 502 North Highway 17, Holly Ridge, NC 28445 | 2007-01-23 |
| 1659436608 | Time 2 Learn Inc | Community/Behavioral Health | 1111 North Shore Dr, Surf City, NC 28445 | 2006-12-27 |
| Find all providers in zip 28445 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962698274 | Phillip Carl Tart | Optometrist | 13520 Nc Highway 50, Surf City, NC 28445-6554 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566777 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 2145 Hendersonville Rd Ste D, Arden, NC 28704-9724 | 2020-10-20 |
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1609400381 | Idealeyes, O.d., Pllc | Optometrist | 905 Boyer Dr, Clemmons, NC 27012-9476 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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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.