Doctors Vision Center Od Pa

LBN: Doctors Vision Center Od Pa
Doctors Vision Center Od Pa is an health care organization with primary practice located at 335 N Main St , Walnut Cove NC 27052-9200. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Doctors Vision Center Od Pa can be contacted via phone (336) 591-7428, or through Burgess, Tina M via phone (252) 442-0802.

Contact Information

Primary practice address
335 N Main St Walnut Cove NC 27052-9200
Phone: (336) 591-7428
Fax: (336) 591-5136
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Tina M
Phone: (252) 442-0802

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1801844840
LBN Legal business name Doctors Vision Center Od Pa
DBA Doing business as
Authorized official Burgess, Tina M
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Aug 30th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801844840 NPPES
North Carolina Other 017J2 BCBS GRP #
North Carolina MEDICAID 5900612 BCBS GRP #

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