Organization
FINAL PHASE LLC
Active
Other names
JAMES E HOMER, OCULARIST
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E HOMER OCULARIST (PRESIDENT)
(252) 393-5134
Entity
Organization
Contact information
Practice address
1044 CEDAR POINT BLVD, CEDAR POINT, NC 28584-8019
(252) 393-5134
(252) 393-6930
Mailing address
159 DEEPWATER DR, STELLA, NC 28582-9741
(252) 393-5134
(252) 393-6930
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
021642
NC
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048E0
BLUE CROSS BLUE SHIELD OF NC
NC
05
—
7705142
—
NC
Enumeration date
02/05/2009
Last updated
07/10/2013
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