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Organization

BANKS EYE CARE OD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL R BANKS O.D. (OWNER)
(252) 444-2020
Entity
Organization

Contact information

Practice address
1401 E MAIN ST, HAVELOCK, NC 28532-1822
(252) 444-2020
Mailing address
1401 E MAIN ST, HAVELOCK, NC 28532-1822
(252) 444-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1111
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013H7
BCBS GROUP
NC
01
09041
BCBS
NC
01
0911F
BCBS
NC
05
8909041
NC
05
8909148
NC
Enumeration date
05/31/2007
Last updated
05/14/2012
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