SOUTHEASTERN HEALTH PHYSICIAN SERVICES (NPI# 1518351279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518351279 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN HEALTH PHYSICIAN SERVICES |
| Other Organization Name | SOUTHEASTERN EYE CLINIC |
| Practice Address |
4311 Ludgate St Lumberton NC 28358-2460 |
| Practice Telephone | 9106711981 |
| Practice Fax Number | 9106717273 |
| Mailing Telephone | 9106711981 |
| Mailing Fax Number | 9106717273 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | FORDHAM B BRITT (DIRECTOR) |
| Authorized Official Telephone | 9106715026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southeastern Eye Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578957346 | Southeastern Health Physician Services | General Practice | 725 Oakridge Blvd. Suite B2, Lumberton, NC 28358 | 2015-03-19 |
| 1346632593 | Southeastern Health Physician Services | General Practice | 2634 N Elm St. Suite G, Lumberton, NC 28358 | 2015-02-25 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1801280672 | Southeastern Health Physician Services | Internal Medicine | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2015-03-19 |
| 1255725024 | Southeastern Health Physician Services | Internal Medicine | 725 Oakridge Blvd Ste C1, Lumberton, NC 28358-2351 | 2015-03-19 |
| 1851784995 | Southeastern Health Physician Services | Internal Medicine | 401 W 27th St, Lumberton, NC 28358-3019 | 2015-03-13 |
| 1386037539 | Southeastern Health Physician Services | General Practice | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 | 2015-03-12 |
| 1073906228 | Southeastern Health Physician Services | General Practice | 1249 Chicken Foot Rd, Hope Mills, NC 28348-7525 | 2015-03-12 |
| Street Address |
4311 LUDGATE ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752255 | Richard Rudolph Beauchemin | Ophthalmology | 4311 Ludgate St, Lumberton, NC 28358-2460 | 2005-09-28 |
| 1295159473 | Southeastern Regional Physician Services | Specialist | 4311 Ludgate St, Lumberton, NC 28358-2460 | 2014-02-10 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662355 | Donald R. Whaley | Ophthalmology | 760 Oakridge Blvd, Lumberton, NC 28358-2324 | 2005-10-07 |
| 1598752255 | Richard Rudolph Beauchemin | Ophthalmology | 4311 Ludgate St, Lumberton, NC 28358-2460 | 2005-09-28 |
| 1265424337 | Eric Jesse Hartman | Ophthalmology | 200 Madison Ave, Lumberton, NJ 08048-2902 | 2005-08-16 |
| 1174053904 | Carolina Eye Associates, Inc. | Ophthalmology | 2905 N Elm St, Lumberton, NC 28358-2982 | 2017-06-14 |
| 1750550927 | Donald R. Whaley, M.d. PC | Ophthalmology | 760 Oakridge Blvd, Lumberton, NC 28358-2324 | 2008-02-21 |
| 1932306024 | Mt Holly Eye Physicians & Surgeons Professional Association | Ophthalmology | 1613 Route 38, Lumberton, NJ 08048 | 2007-07-02 |
| 1356492367 | Eric J. Hartman M.d. LLC | Ophthalmology | 200 Madison Ave, Lumberton, NJ 08048-2902 | 2007-01-16 |
| 1720075336 | Timothy Scott Mouser | Ophthalmology | 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881145 | Wnc Ophthalmology, Pllc | Ophthalmology | 900 Hendersonville Rd Ste 302, Asheville, NC 28803-1762 | 2020-08-10 |
| 1275154676 | Albemarle Eye Center, Pllc | Ophthalmology | 2511 N Queen St, Kinston, NC 28501-1632 | 2020-04-27 |
| 1518509686 | Bruce Howard Redler | Ophthalmology | 170 Oakanoah Ct, Brevard, NC 28712-8485 | 2019-10-10 |
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1285177014 | Carolina Eye Associates, Inc | Ophthalmology | 310 N. Greene Street, Wadesboro, NC 28170-1609 | 2016-11-28 |
| 1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
| 1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHEASTERN HEALTH PHYSICIAN SERVICES.
| 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.