Provider Demographics
NPI:1255471108
Name:INSIGHT OPTOMETRIC SERVICES PA
Entity Type:Organization
Organization Name:INSIGHT OPTOMETRIC SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:252-838-8822
Mailing Address - Street 1:300 CAMPEN RD STE A
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-1500
Mailing Address - Country:US
Mailing Address - Phone:252-838-8822
Mailing Address - Fax:252-838-0013
Practice Address - Street 1:300 CAMPEN RD STE A
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1500
Practice Address - Country:US
Practice Address - Phone:252-838-8822
Practice Address - Fax:252-838-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1505152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty