Organization
CAPE FEAR OPTOMETRIC CLINIC PA
Active
Other names
Anson County Optometric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE PHILBRICK KEEL OD (OPTOMETRIST)
(704) 694-3618
Entity
Organization
Contact information
Practice address
1134 HOLLY ST, WADESBORO, NC 28170-2452
(704) 694-3618
Mailing address
1134 HOLLY ST, WADESBORO, NC 28170-2452
(704) 694-3618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905B
BLUE CROSS BLUE SHIELD
NC
05
—
890903C
—
NC
05
—
890905B
—
NC
Enumeration date
09/12/2006
Last updated
04/23/2008
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