Organization
MID-ATLANTIC EYE PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CRICHLOW M.D. (PRESIDENT)
(252) 537-8193
Entity
Organization
Contact information
Practice address
204 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 537-8193
(252) 537-0589
Mailing address
204 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 537-8193
(252) 537-0589
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01858
BCBS OF NC
NC
01
—
332641
ANTHEM BCBS
VA
01
—
332642
ANTHEM BCBS
VA
Enumeration date
05/27/2006
Last updated
11/11/2020
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