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Organization

EYECARECENTER OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALISON BAILEY OD (AUTHORIZED OFFICIAL)
(636) 200-4393
Entity
Organization

Contact information

Practice address
800 S STRATFORD RD, WINSTON SALEM, NC 27103-3202
(636) 200-4393
(336) 765-5584
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
0964B
BCBSNC GROUP NUMBER
NC
05
890964B
NC
Enumeration date
05/18/2006
Last updated
09/29/2023
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