Eyecarecenter Od Pa

LBN: Eyecarecenter Od Pa
Eyecarecenter Od Pa is an health care organization with primary practice located at 4130 Western Blvd , Jacksonville NC 28546-6740. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eyecarecenter Od Pa can be contacted via phone (636) 200-4393, or through Bailey, Alison via phone (636) 200-4393.

Contact Information

Primary practice address
4130 Western Blvd Jacksonville NC 28546-6740
Phone: (636) 200-4393
Fax: (910) 353-5459
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Alison Doctor of Optometry (OD)
Phone: (636) 200-4393

Health care specialties

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

Profile Details

NPI number 1003861212
LBN Legal business name Eyecarecenter Od Pa
DBA Doing business as
Authorized official Bailey, Alison Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Sep 29th, 2023 - about last year

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 1003861212 NPPES
North Carolina Other 0912F BCBSNC GROUP NUMBER
North Carolina MEDICAID 890912F BCBSNC GROUP NUMBER

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