Carolina Vision Associates

LBN: Chatham Optometric Od Pa
Carolina Vision Associates is an health care organization with primary practice located at 11312 Us Highway 15-501 North Ste 304, Chapel Hill NC 27517-6376. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Chatham Optometric Od Pa can be contacted via phone (919) 933-6767, or through Marshall, John Bryan via phone (919) 933-6767.

Contact Information

Primary practice address
11312 Us Highway 15-501 North Ste 304 Chapel Hill NC 27517-6376
Fax: (919) 933-6732
Website:
Authorized official contact:
Name: Marshall, John Bryan Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1386861326
LBN Legal business name Chatham Optometric Od Pa
DBA Doing business as Carolina Vision Associates
Authorized official Marshall, John Bryan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Apr 25th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386861326 NPPES
North Carolina MEDICAID 790136L
North Carolina MEDICAID 8909104
North Carolina Other 4480650001
North Carolina Other 152W00000X

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