Provider Demographics
NPI:1427212562
Name:EAST CAROLINA CENTER FOR SIGHT PA
Entity Type:Organization
Organization Name:EAST CAROLINA CENTER FOR SIGHT PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:W
Authorized Official - Last Name:TITONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-947-2454
Mailing Address - Street 1:1011 WH SMITH BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5052
Mailing Address - Country:US
Mailing Address - Phone:252-355-7301
Mailing Address - Fax:252-364-3140
Practice Address - Street 1:1011 WH SMITH BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5052
Practice Address - Country:US
Practice Address - Phone:252-355-7301
Practice Address - Fax:252-364-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty