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NPI Code Detail

MEDICARE: CAROLINA EYE ASSOCIATES INC

MEDICARE: CAROLINA EYE ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2207W00000XOphthalmology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28060OTHERSCSC MEDICARE
3CL9157OTHERNCRAILROAD MEDICARE
6CD8017OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101199OTHERNCBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245211333
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA EYE ASSOCIATES INC
Provider Business Mailing Address
First Line : 2170 MIDLAND RD
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-2927
Country : US
Telephone Number : 910-295-2100
Fax Number : 910-295-3625
Provider Business Practice Location Address
First Line : 2170 MIDLAND RD
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-2927
Country : US
Telephone Number : 910-295-2100
Fax Number : 910-295-3625
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : TJ MCCASKILL
Credential :
Telephone Number : 910-295-2100
Provider Enumeration Date : 11/07/2005
Last Update Date : 10/30/2025

Similar Medicare Providers

1245221563 — JEFFREY JASON WHITE MD
Practice Location Address:
2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927
Practice Phone: 910-295-2100
Practice Fax: 910-295-3625
1396736617 — DR. DANIEL KENT MESSNER MD
Practice Location Address:
2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927
Practice Phone: 910-295-2100
Practice Fax: 910-295-3625
1518958842 — DR. GREGORY JULIAN MINCEY MD
Practice Location Address:
2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927
Practice Phone: 910-295-2100
Practice Fax: 910-295-3625
1932190261 — DR. ANNA FRANCES FAKADEJ MD
Practice Location Address:
2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927
Practice Phone: 910-295-2100
Practice Fax: 910-295-3625
1144211483 — DAVID BRENNEN THRONEBURG OD
Practice Location Address:
2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927
Practice Phone: 910-295-2100
Practice Fax: 910-295-3625
1952388308 — DR. RICHARD BLAIR PHINNEY MD
Practice Location Address:
2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927
Practice Phone: 910-295-2100
Practice Fax: 910-295-5339

Directions to “CAROLINA EYE ASSOCIATES INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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