CAROLINA GLAUCOMA PA
NPI 1174797666
Ophthalmology in Wilmington, NC

Q: What is Carolina Glaucoma PA's NPI number?

The NPI number for Carolina Glaucoma PA is 1174797666. It was assigned to this organization in the NPPES registry on April 16, 2008.

Q: What is Carolina Glaucoma PA's specialty?

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

Active since April 16, 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: October 25, 2026.

Record update history: Mar 17, 2018, Dec 7, 2017 (2 updates tracked since 2017).

On this page

About Carolina Glaucoma Pa NPPES

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

CAROLINA GLAUCOMA PA (NPI 1174797666) 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

NPI1174797666

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 · (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 16, 2008

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1174797666 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 Circle, Suite 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Glaucoma Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carolina Glaucoma PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Price, M.D.

Ophthalmology

NPI 1821107772

1907 S 17TH STREET SUITE 3
Wilmington, NC 28401

(910) 341-0011

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1174797666. It was assigned to this organization in the NPPES registry on April 16, 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.

Is Carolina Glaucoma PA enrolled in Medicare?

Yes. Carolina Glaucoma PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Glaucoma PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Carolina Glaucoma PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carolina Glaucoma PA accept?

Health plans from Cigna Healthcare list Carolina Glaucoma PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.