Healthcare Provider Details

I. General information

NPI: 1700842358
Provider Name (Legal Business Name): THE EYE SURGERY CENTER OF THE CAROLINAS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2006
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 MIDLAND RD
SOUTHERN PINES NC
28387
US

IV. Provider business mailing address

2170 MIDLAND RD
SOUTHERN PINES NC
28387-2927
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-1221
  • Fax:
Mailing address:
  • Phone: 910-295-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD L SHARFF JR.
Title or Position: VP/SECRETARY
Credential:
Phone: 205-545-2572