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Organization
BLUE RIDGE LASER EYE ASSOCIATES, P.A.
Active
Organization
BLUE RIDGE LASER EYE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA NELON (BILLING ADMINISTRATOR)
(828) 894-3037
Entity
Organization
Contact information
Practice address
1014 W POINSETT ST, GREER, SC 29650-1315
(828) 894-3037
(828) 894-7041
Mailing address
1014 W POINSETT ST, GREER, SC 29650-1315
(828) 894-3037
(828) 894-7041
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012RE
BCBS
NC
01
—
2333605
NC MEDICARE
NC
01
—
8597
SC MEDICARE
SC
01
—
DF8060
RR MEDICARE
—
Enumeration date
01/22/2008
Last updated
01/22/2008
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