Mount Holly Eye Clinic, Od, Pa
LBN: Mount Holly Eye Clinic, Od, Pa
Mount Holly Eye Clinic, Od, Pa is an health care organization with primary practice located at 612 S Main St , Mount Holly NC 28120-1653. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Mount Holly Eye Clinic, Od, Pa can be contacted via phone (704) 822-0099, or through Fox-Putnam, Angela Marie via phone (704) 822-0099.
Contact Information
Primary practice address
612 S Main St
Mount Holly NC 28120-1653
Phone: (704) 822-0099
Fax: (704) 822-0077
Website:
Authorized official contact:
Name: Fox-Putnam, Angela Marie Doctor of Optometry (OD)
Phone: (704) 822-0099
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1387 | North Carolina |
Profile Details
| NPI number | 1720261662 |
|---|---|
| LBN Legal business name | Mount Holly Eye Clinic, Od, Pa |
| DBA Doing business as | |
| Authorized official | Fox-Putnam, Angela Marie Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2007 |
| Last updated | Jan 14th, 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 | 1720261662 | NPPES |
| North Carolina | MEDICAID | 890928G | |
| North Carolina | Other | 0928G | |
| North Carolina | Other | 12304 | |
| North Carolina | Other | 4622 | |
| North Carolina | Other | OP0469 | |
| North Carolina | Other | NC 1387 |
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