Eyecarecenter Od Pa

LBN: Eyecarecenter Od Pa
Eyecarecenter Od Pa is an health care organization with primary practice located at 1520 South Blvd Ste 105 , Charlotte NC 28203-4786. 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 (704) 392-2020, or through Bailey, Alison via phone (636) 200-4393.

Contact Information

Primary practice address
1520 South Blvd Ste 105 Charlotte NC 28203-4786
Phone: (704) 392-2020
Fax: (704) 399-8029
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 1780637181
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 18th, 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 1780637181 NPPES
North Carolina Other CA8262 RR MEDICARE GROUP
North Carolina Other 02863 RR MEDICARE GROUP
North Carolina MEDICAID 8902863 RR MEDICARE GROUP

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