Bethesda Eye Center, Optometry, Pa
LBN: Bethesda Eye Center, Optometry, Pa
Bethesda Eye Center, Optometry, Pa is an health care organization with primary practice located at 3111 Maplewood Ave Suite 103, Winston Salem NC 27103-3906. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Bethesda Eye Center, Optometry, Pa can be contacted via phone (336) 765-8130, or through Elliott, J Grady via phone (336) 765-8130.
Contact Information
Primary practice address
3111 Maplewood Ave Suite 103
Winston Salem NC 27103-3906
Phone: (336) 765-8130
Fax: (336) 765-6403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1456 | North Carolina |
Profile Details
| NPI number | 1518007491 |
|---|---|
| LBN Legal business name | Bethesda Eye Center, Optometry, Pa |
| DBA Doing business as | |
| Authorized official | Elliott, J Grady Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | May 16th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518007491 | NPPES |
| North Carolina | Other | 2468143 | MEDICARE - PTAN |
| North Carolina | MEDICAID | 8801962 | MEDICARE - PTAN |
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