Koala Eye Centre Pc

LBN: Koala Eye Centre Pc
Koala Eye Centre Pc is an health care organization with primary practice located at 719 Green Valley Rd Ste. 303, Greensboro NC 27408-7014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Koala Eye Centre Pc can be contacted via phone (336) 378-2511, or through Spencer, Michael Antonio via phone (336) 378-2511.

Contact Information

Primary practice address
719 Green Valley Rd Ste. 303 Greensboro NC 27408-7014
Phone: (336) 378-2511
Fax: (336) 378-1186
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Michael Antonio Doctor of Medicine (MD)
Phone: (336) 378-2511

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X 200100470 North Carolina

Profile Details

NPI number 1376722231
LBN Legal business name Koala Eye Centre Pc
DBA Doing business as
Authorized official Spencer, Michael Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Apr 14th, 2008 - about 17 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 1376722231 NPPES
North Carolina MEDICAID 8913132

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