Organization
MIDLAND OPTOMETRIC PA
Active
Other names
ERIC R. FOGLEMAN O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE M LOFTIS (OFFICE MANAGER)
(910) 295-3220
Entity
Organization
Contact information
Practice address
2160B MIDLAND RD, SUITE B, SOUTHERN PINES, NC 28387-2927
(910) 295-3220
(910) 295-0507
Mailing address
2160B MIDLAND RD, SUITE B, SOUTHERN PINES, NC 28387-2927
(910) 295-3220
(910) 295-0507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01269
BCBS GROUP#
NC
05
—
8901269
—
NC
Enumeration date
05/11/2006
Last updated
11/24/2008
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