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
201 RACINE DR, WILMINGTON, NC 28403-8702
(910) 395-6050
(910) 794-2222
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
—
0204H
BCBS GRP #
NC
01
—
410032674
CG RRMCR
NC
01
—
410032676
TG RRMCR
NC
01
—
410049393
KC RRMCR
NC
05
—
890204H
—
NC
01
—
CD6765
RR MEDICARE GROUP #
NC
Enumeration date
05/04/2006
Last updated
05/29/2022
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