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Organization

GRAYSTONE EYE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRY B CALHOUN (CREDENTIALING SPECIALIST)
(828) 322-2050
Entity
Organization

Contact information

Practice address
2424 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 322-2050
(828) 345-0522
Mailing address
PO BOX 3528, HICKORY, NC 28603-3528
(828) 322-2050
(828) 345-0522

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0036
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062E
BCBS
NC
01
1093960395
AETNA
NC
01
2924628
CIGNA
NC
05
3409979
NC
01
NC81944
WELLCARE
NC
Enumeration date
12/01/2008
Last updated
08/20/2025
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