Organization
BRAD HEARN OD PA
Active
Parent organization
BRAD HEARN OD PA
Other names
Atlantic Eye Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAD HEARN OD PA
Authorized official
PAUL BRADFORD HEARN O.D. (OPTOMETRIST/PRESIDENT)
(704) 896-3311
Entity
Organization
Contact information
Practice address
16150 US HIGHWAY 17 N STE A, HAMPSTEAD, NC 28443-6302
(910) 270-2800
(910) 270-9100
Mailing address
16525 BIRKDALE COMMONS PKWY STE 100, HUNTERSVILLE, NC 28078-3803
(704) 896-3311
(704) 896-5514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909402
—
NC
Enumeration date
04/05/2019
Last updated
04/05/2019
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