Provider Demographics
NPI:1356306997
Name:EASTERN CAROLINA EYE CENTER PA
Entity Type:Organization
Organization Name:EASTERN CAROLINA EYE CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-752-0313
Mailing Address - Street 1:2573 STANTONSBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-752-0313
Mailing Address - Fax:252-758-8509
Practice Address - Street 1:2573 STANTONSBURG ROAD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-752-0313
Practice Address - Fax:252-758-8509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23291207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6901494Medicaid
NC01494OtherBCBS
NC6901494Medicaid
NC01494OtherBCBS
NC2311935FMedicare PIN
NC2311935AMedicare PIN
NC2311935KMedicare PIN
NC2311935JMedicare PIN