Organization
SOUTHEASTERN EYE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SCOTT MOUSER M.D. (OPHTHALMOLOGIST)
(910) 738-4856
Entity
Organization
Contact information
Practice address
106 FARM BROOK DR, SUITE B, LUMBERTON, NC 28358-2178
(910) 738-4856
(910) 738-7999
Mailing address
106 FARM BROOK DR, SUITE B, LUMBERTON, NC 28358-2178
(910) 738-4856
(910) 738-7999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913746
—
NC
01
—
DC2898
RR MEDICARE
NC
Enumeration date
09/29/2005
Last updated
03/13/2025
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