Organization
EYE CONSULTANTS OF GREENSBORO
Active
Other names
EYE CONSULTANTS OF ASHEBORO
Organization subpart
No
Provider details
NPI number
Authorized official
ROY WHITAKER JR. MD (OWNER)
(336) 389-0242
Entity
Organization
Contact information
Practice address
1305 W WENDOVER AVE, SUITE B, GREENSBORO, NC 27408-8124
(336) 389-0242
(336) 389-0263
Mailing address
1305 W WENDOVER AVE, SUITE B, GREENSBORO, NC 27408-8124
(336) 389-0242
(336) 389-0263
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
26482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912204
—
NC
Enumeration date
08/31/2006
Last updated
08/22/2020
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