Organization
ATLANTIC EYE ASSOCIATES OD PA
Active
Other names
Atlantic Eye Associates OD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ROBERT FLORA OD (PRESIDENT)
(910) 270-2800
Entity
Organization
Contact information
Practice address
16150 US HWY 17 N, SUITE A, HAMPSTEAD, NC 28443
(910) 270-2800
(910) 270-9100
Mailing address
16150 US HWY 17 N, SUITE A, HAMPSTEAD, NC 28443
(910) 270-2800
(910) 270-9100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012YA
BCBS
NC
05
—
89012YA
—
NC
Enumeration date
09/14/2006
Last updated
08/12/2013
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