# MORGANTON EYE PHYSICIANS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Surgery Center of Shelby
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417080342
- **Authorized official:** DENNIS W LEE (BUSINESS MANAGER. MEPPA)
- **Authorized official phone:** (828) 433-1000

## Contact information

- **Practice address:** 1622 E MARION ST, SHELBY, NC 28150-4939
- **Practice address phone:** (704) 482-2020
- **Practice address fax:** (704) 482-7707
- **Mailing address:** 335 E PARKER RD, MORGANTON, NC 28655-5112
- **Mailing address phone:** (828) 433-1000
- **Mailing address fax:** (828) 433-6274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 06/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00602 | BLUE CROSS BLUE SHIELD NC | NC |
| 05 | — | 3409894 | — | NC |
