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
Fax: (919) 460-7776
Website:
Authorized official contact:
Name: Durham, Susan Licata Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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