Organization
AYCOCK EYE ASSOCIATES OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE W AYCOCK (SECRETARY)
(704) 283-2179
Entity
Organization
Contact information
Practice address
120 E PHIFER STREET, MONROE, NC 28110-3035
(704) 283-2179
(704) 283-8314
Mailing address
120 E PHIFER STREET, MONROE, NC 28110-3035
(704) 283-2179
(704) 283-8314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246167A
—
NC
05
—
8909026
—
NC
Enumeration date
06/27/2006
Last updated
08/22/2020
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