Provider Demographics
NPI:1841285673
Name:MOTSINGER ADVANCED EYE CARE, O.D., P.L.L.C.
Entity type:Organization
Organization Name:MOTSINGER ADVANCED EYE CARE, O.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MOTSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:910-259-9230
Mailing Address - Street 1:205 US HIGHWAY 117 S
Mailing Address - Street 2:STE. 4
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-6704
Mailing Address - Country:US
Mailing Address - Phone:910-259-9230
Mailing Address - Fax:910-259-9215
Practice Address - Street 1:205 US HIGHWAY 117 S
Practice Address - Street 2:STE. 4
Practice Address - City:BURGAW
Practice Address - State:NC
Practice Address - Zip Code:28425-6704
Practice Address - Country:US
Practice Address - Phone:910-259-9230
Practice Address - Fax:910-259-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1869152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89093P4Medicaid
NC2472241CMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #
NC5117970001Medicare NSC
NC89093P4Medicaid
NC2337629Medicare ID - Type UnspecifiedGROUP NUMBER