Provider Demographics
NPI:1811143621
Name:EYE-MERGENCY INC.
Entity type:Organization
Organization Name:EYE-MERGENCY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:TUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-762-4440
Mailing Address - Street 1:1001 MILITARY CUTOFF RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-4318
Mailing Address - Country:US
Mailing Address - Phone:910-762-4440
Mailing Address - Fax:910-794-9300
Practice Address - Street 1:1001 MILITARY CUTOFF RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4318
Practice Address - Country:US
Practice Address - Phone:910-762-4440
Practice Address - Fax:910-794-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD58981Medicare UPIN