Midway Optometric Eye Care, P.A.
LBN: Midway Optometric Eye Care, P.A.
Midway Optometric Eye Care, P.A. is an health care organization with primary practice located at 11362 Old Us Highway 52 , Winston Salem NC 27107-9841. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Midway Optometric Eye Care, P.A. can be contacted via phone (336) 764-2449, or through Sasser, Carl David via phone (336) 764-2449.
Contact Information
Primary practice address
11362 Old Us Highway 52
Winston Salem NC 27107-9841
Phone: (336) 764-2449
Fax: (336) 764-4156
Website:
Authorized official contact:
Name: Sasser, Carl David Doctor of Optometry (OD)
Phone: (336) 764-2449
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1090 | North Carolina |
Profile Details
| NPI number | 1124330535 |
|---|---|
| LBN Legal business name | Midway Optometric Eye Care, P.A. |
| DBA Doing business as | |
| Authorized official | Sasser, Carl David Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2010 |
| Last updated | Jul 30th, 2010 - about 14 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 | 1124330535 | NPPES |
| Other | 0827850001 | DMERC/PALMETTO | |
| MEDICAID | 8909807 | DMERC/PALMETTO |
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