Southern Optometry Group

LBN: Southern Optometry Group
Southern Optometry Group is an health care organization with primary practice located at 10050 Glenwood Ave , Raleigh NC 27617-8436. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southern Optometry Group can be contacted via phone (919) 596-3300, or through Schoning, Mark Allen via phone (919) 460-7470.

Contact Information

Primary practice address
10050 Glenwood Ave Raleigh NC 27617-8436
Phone: (919) 596-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schoning, Mark Allen Doctor of Optometry (OD)
Phone: (919) 460-7470

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1342 North Carolina

Profile Details

NPI number 1225224595
LBN Legal business name Southern Optometry Group
DBA Doing business as
Authorized official Schoning, Mark Allen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Mar 18th, 2014 - about 12 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 1225224595 NPPES
North Carolina MEDICAID 890936N

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