Organization
NEW MOUNTAIN EYE ASSOCIATES PLLC
Active
Organization
NEW MOUNTAIN EYE ASSOCIATES PLLC
Active
Other names
MOUNTAIN EYE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM THOMAS BIRD JR. (PRACTICE ADMINISTRATOR)
(828) 452-5816
Entity
Organization
Contact information
Practice address
65 PARK ST, CANTON, NC 28716-4323
(828) 648-2483
(828) 648-4689
Mailing address
486 HOSPITAL DR, CLYDE, NC 28721-8026
(828) 452-5816
(828) 452-0373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256V
BCBS
NC
05
—
890256V
—
NC
Enumeration date
11/30/2010
Last updated
11/30/2010
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