Individual
DR. PHILLIP CARL TART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13520 NC HIGHWAY 50, SURF CITY, NC 28445-6554
(910) 803-0555
(910) 338-3160
Mailing address
PO BOX 2429, SURF CITY, NC 28445-0027
(910) 803-0555
(910) 338-3160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00206448
MEDICARE RAILROAD RETIRME
NC
Enumeration date
09/20/2007
Last updated
03/26/2014
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