Clerico Optometry, P.A.
LBN: Clerico Optometry, P.A.
Clerico Optometry, P.A. is an health care organization with primary practice located at 3528 Yadkinville Rd , Winston Salem NC 27106-2535. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Clerico Optometry, P.A. can be contacted via phone (336) 924-6811, or through Clerico, John via phone (336) 924-6811.
Contact Information
Primary practice address
3528 Yadkinville Rd
Winston Salem NC 27106-2535
Phone: (336) 924-6811
Fax: (336) 922-4375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 0912 | North Carolina |
Profile Details
NPI number | 1164559878 |
---|---|
LBN Legal business name | Clerico Optometry, P.A. |
DBA Doing business as | |
Authorized official | Clerico, John Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 28th, 2007 |
Last updated | Apr 20th, 2008 - about 16 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 | 1164559878 | NPPES |
North Carolina | Other | 09158 | BLUE CROSS BLUE SHIELD NC |
North Carolina | MEDICAID | 8909158 | BLUE CROSS BLUE SHIELD NC |
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