Organization
TRIAD EYE ASSOCIATES OF ASHEBORO OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M KERNODLE OD (OWNER)
(336) 625-2020
Entity
Organization
Contact information
Practice address
328A N FAYETTEVILLE ST, ASHEBORO, NC 27203-5531
(336) 625-2020
(336) 629-2030
Mailing address
328A N FAYETTEVILLE ST, ASHEBORO, NC 27203-5531
(336) 625-2020
(336) 629-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011EN
BCBS/NC
NC
05
—
89016FJ
—
NC
Enumeration date
05/02/2006
Last updated
08/22/2020
Update your record
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