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
Fax: (336) 922-4375
Website:
Authorized official contact:
Name: Clerico, John Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164559878 NPPES
North Carolina Other 09158 BLUE CROSS BLUE SHIELD NC
North Carolina MEDICAID 8909158 BLUE CROSS BLUE SHIELD NC

Popular Providers