Organization
EYE CARE ASSOCIATES OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BOLICK OD (CEO)
(919) 847-0187
Entity
Organization
Contact information
Practice address
6566 GLENWOOD AVE, RALEIGH, NC 27612-7156
(919) 783-0011
(919) 781-9267
Mailing address
7100 SIX FORKS RD, SUITE 301, RALEIGH, NC 27615-6156
(919) 847-0187
(919) 676-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241G
BLUECROSS
NC
05
—
790214G
—
NC
01
—
CK2419
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
02/11/2013
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