Primary Vision Care Center, O.d., P.a. | |
13520 Nc Hwy 50, Surf City, NC 28445 | |
(910) 803-0555 | |
(910) 338-3160 |
Full Name | Primary Vision Care Center, O.d., P.a. |
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Type | Facility |
Speciality | Optometrist |
Location | 13520 Nc Hwy 50, Surf City, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497964787 | NPI | - | NPPES |
2200320 | Other | NC | UNITED HEALTH CARE |
8909890 | Medicaid | NC | |
09890 | Other | NC | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1127 (North Carolina) | Primary |
Provider Name | Phillip C Tart |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962698274 PECOS PAC ID: 9638138670 Enrollment ID: I20041006000596 |
Mailing Address | Practice Location Address |
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Primary Vision Care Center, O.d., P.a. Po Box 2429, Surf City, NC 28443-2149 Ph: (910) 803-0555 | Primary Vision Care Center, O.d., P.a. 13520 Nc Hwy 50, Surf City, NC 28445 Ph: (910) 803-0555 |
Gateway Vision Care, Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13520 Nc Highway 50, Surf City, NC 28445 Phone: 910-803-0556 | |
Dr. Phillip Carl Tart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13520 Nc Highway 50, Surf City, NC 28445 Phone: 910-803-0555 Fax: 910-338-3160 |