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Organization

MODERN EYE CARE OD PA

Active
Other names
Modern Eye Care of Afton Village
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES EDWARD HARRIS O.D. (OPTOMETRIST/OWNER)
(704) 792-2777
Entity
Organization

Contact information

Practice address
5325 VINNING ST, SUITE 202, CONCORD, NC 28027-2942
(704) 792-2777
(704) 292-2778
Mailing address
5325 VINNING ST, SUITE 202, CONCORD, NC 28027-2942
(704) 792-2777
(704) 292-2778

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1934
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5906244
NC
Enumeration date
03/22/2007
Last updated
12/12/2008
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