Pembroke Optometric Clinic Pa

LBN: Pembroke Optometric Clinic Pa
Pembroke Optometric Clinic Pa is an health care organization with primary practice located at 204 Union Chapel Rd , Pembroke NC 28372-2109. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pembroke Optometric Clinic Pa can be contacted via phone (910) 521-9744, or through Locklear, Sandra Kaye via phone (910) 521-9744.

Contact Information

Primary practice address
204 Union Chapel Rd Pembroke NC 28372-2109
Phone: (910) 521-9744
Fax: (910) 521-1310
Website:
Map and Directions
Authorized official contact:
Name: Locklear, Sandra Kaye Doctor of Optometry (OD)
Phone: (910) 521-9744

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1318 North Carolina

Profile Details

NPI number 1942284880
LBN Legal business name Pembroke Optometric Clinic Pa
DBA Doing business as
Authorized official Locklear, Sandra Kaye Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 12th, 2008 - about 18 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 1942284880 NPPES
North Carolina MEDICAID 8909451

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