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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