Cary Eye Center Optometry Pa
LBN: Cary Eye Center Optometry Pa
Cary Eye Center Optometry Pa is an health care organization with primary practice located at 1398 Kildaire Farm Rd Suite 100, Cary NC 27511-5567. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is the primary health care specialty.
Cary Eye Center Optometry Pa can be contacted via phone (919) 467-3238, or through Durham, Susan Licata via phone (919) 467-3238.
Contact Information
Primary practice address
1398 Kildaire Farm Rd Suite 100
Cary NC 27511-5567
Phone: (919) 467-3238
Fax: (919) 460-7776
Website:
Authorized official contact:
Name: Durham, Susan Licata Doctor of Optometry (OD)
Phone: (919) 467-3238
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1335 | North Carolina |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1335 | North Carolina |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1335 | North Carolina |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1335 | North Carolina |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1335 | North Carolina |
Profile Details
NPI number | 1588704340 |
---|---|
LBN Legal business name | Cary Eye Center Optometry Pa |
DBA Doing business as | |
Authorized official | Durham, Susan Licata Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | Nov 22nd, 2013 - about 11 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 | 1588704340 | NPPES |
North Carolina | Other | 083568695 | TRICARE |
North Carolina | Other | 410036278 | TRICARE |
North Carolina | Other | 0917N | TRICARE |
North Carolina | Other | 543199 | TRICARE |
North Carolina | Other | 5910 | TRICARE |
North Carolina | Other | 2253547 | TRICARE |
North Carolina | MEDICAID | 890971N | TRICARE |
North Carolina | Other | B729 | TRICARE |
North Carolina | Other | NC9335 | TRICARE |
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