# WILMINGTON EYE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588274963
- **Authorized official:** KATHY ERICKSON RN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (910) 763-3601

## Contact information

- **Practice address:** 1919 S 16TH ST, WILMINGTON, NC 28401-6610
- **Practice address phone:** (910) 772-8261
- **Mailing address:** 1729 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 09/07/2023