Organization
CARTERET EYE CENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL HYMAN MEWBORN III OD (PRESIDENT)
(252) 247-4661
Entity
Organization
Contact information
Practice address
5053 EXECUTIVE DR STE A, MOREHEAD CITY, NC 28557-2506
(252) 247-4661
(252) 247-3776
Mailing address
5053 EXECUTIVE DR STE A, MOREHEAD CITY, NC 28557-2506
(252) 247-4661
(252) 247-3776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144203522
NPI - INDIVIDUAL
NC
Enumeration date
07/31/2009
Last updated
06/10/2011
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