| 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. |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962698274 PECOS PAC ID: 9638138670 Enrollment ID: I20041006000596 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |