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CAROLINA GLAUCOMA PA
NPI 1104091545
Ophthalmology in Wilmington, NC

Active since April 28, 2008
1907 S 17TH ST STE 3, WILMINGTON, NC 28401(910) 341-0011(910) 341-0012 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 8, 2017 (2 updates tracked since 2017).

About Carolina Glaucoma Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA GLAUCOMA PA (NPI 1104091545) is a healthcare organization registered as an ophthalmology in Wilmington, North Carolina and active in the NPI registry since April 2008. The organization maintains a secondary practice location in Supply and lists Mary Elizabeth Price, President, as its authorized official.

NPPES Registry Identity

NPI1104091545
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCAROLINA GLAUCOMA PA
Location Address1907 S 17TH ST STE 3Wilmington, NC 28401-6656
Mailing Address1907 S 17th Street, Suite 3Wilmington, NC 28401-6656 · (910) 341-0011 · Fax (910) 341-0012
Phone(910) 341-0011
Fax(910) 341-0012
Organization SubpartNo
Authorized OfficialMary Elizabeth PricePresident · (910) 341-0011
Enumeration DateApril 28, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1104091545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 9700718
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1907 S 17TH ST STE 3, Wilmington, NC 28401
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Secondary Practice Location 1

Location 114 Doctors Cir Ste 1Supply, NC 28462-4088 · Phone (910) 341-0011 · Fax (910) 341-0012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA GLAUCOMA PA
Ophthalmology
1907 S 17TH ST STE 3
WILMINGTON, NC 28401
New Hanover County (910) 341-0011
TSI OF WILMINGTON, LLC
Home Infusion
1907 S 17TH ST STE 3
WILMINGTON, NC 28401
New Hanover County (910) 940-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Glaucoma PA's NPI number?

The NPI number for Carolina Glaucoma PA is 1104091545. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Carolina Glaucoma PA located?

Carolina Glaucoma PA is located at 1907 S 17th St Ste 3, Wilmington, NC 28401. The listed phone number is (910) 341-0011.

What is Carolina Glaucoma PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Carolina Glaucoma PA was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.