Provider Demographics
NPI:1861841520
Name:ONSLOW OPHTHALMOLOGY, PA
Entity Type:Organization
Organization Name:ONSLOW OPHTHALMOLOGY, PA
Other - Org Name:OFFICE PARK EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATH
Authorized Official - Middle Name:B
Authorized Official - Last Name:ERGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-355-3937
Mailing Address - Street 1:6 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7325
Mailing Address - Country:US
Mailing Address - Phone:910-355-3937
Mailing Address - Fax:910-347-6663
Practice Address - Street 1:349 KINSTON HWY
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-6420
Practice Address - Country:US
Practice Address - Phone:910-355-3937
Practice Address - Fax:910-347-6663
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONSLOW OPHTHALOMOLGY, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty