Provider Demographics
NPI:1225188071
Name:OMNI EYE SPECIALISTS OD
Entity Type:Organization
Organization Name:OMNI EYE SPECIALISTS OD
Other - Org Name:OMNI EYE SERVICES OD PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:910-862-4268
Mailing Address - Street 1:818B PINE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-5600
Mailing Address - Country:US
Mailing Address - Phone:910-793-2010
Mailing Address - Fax:910-793-2015
Practice Address - Street 1:818B PINE GROVE DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-5600
Practice Address - Country:US
Practice Address - Phone:910-793-2010
Practice Address - Fax:910-793-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1447152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty