Provider Demographics
NPI:1831386531
Name:INSIGHT OPTOMETRIC SERVICES P A
Entity type:Organization
Organization Name:INSIGHT OPTOMETRIC SERVICES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:A
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
Mailing Address - Street 2:SUITE A
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
Practice Address - Street 2:SUITE A
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:2007-09-27
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1505152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC019N4OtherBCBSNC
NC410047817OtherRAILROAD MEDICARE
NC5907796Medicaid
NC3914090001Medicare NSC
NC2468648AMedicare PIN