Provider Demographics
NPI:1588945778
Name:INSIGHT FAMILY AND PEDIATRIC EYE CARE
Entity type:Organization
Organization Name:INSIGHT FAMILY AND PEDIATRIC EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELANGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-741-7525
Mailing Address - Street 1:5430 ECHO RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6949
Mailing Address - Country:US
Mailing Address - Phone:919-741-7525
Mailing Address - Fax:
Practice Address - Street 1:518 GREENVILLE BLVD SE
Practice Address - Street 2:SUITE F
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6740
Practice Address - Country:US
Practice Address - Phone:252-756-1078
Practice Address - Fax:252-756-8814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2078152WC0802X, 152WP0200X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC1929A314OtherMEDICARE PTAN