Organization
MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC
Active
Other names
MyEyeDr
Organization subpart
No
Provider details
NPI number
Authorized official
SUE HEALEY (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
1302 BROWN ST, WASHINGTON, NC 27889-4672
(252) 946-7257
(252) 946-9497
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09691
BCBS GRP #
NC
05
—
8909691
—
NC
01
—
DB8258
RAILROAD MCARE GROUP #
NC
Enumeration date
05/04/2006
Last updated
05/29/2022
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