Organization
EYECARECENTER OD PA
Active
Parent organization
EYECARECENTER OD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYECARECENTER OD PA
Authorized official
DR. ALISON BAILEY OD (AUTHORIZED OFFICIAL)
(636) 200-4393
Entity
Organization
Contact information
Practice address
190 INDEPENDENCE AVE STE A, NORTH WILKESBORO, NC 28659-4270
(336) 667-6782
(336) 667-7968
Mailing address
PO BOX 207261, DALLAS, TX 75320-7261
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222680033
SUPPLIER NUMBER
NC
01
—
02AUG
BCBSNC
NC
05
—
1154739563
—
NC
Enumeration date
07/29/2014
Last updated
02/24/2025
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