Organization
BETH WARREN
Active
Other names
COMMUNITY EYE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LEIGH WARREN OD (OWNER/OPTOMETRIST)
(336) 983-4313
Entity
Organization
Contact information
Practice address
306 KIRBY RD, KING, NC 27021-9493
(336) 983-4313
(336) 983-3913
Mailing address
PO BOX 1189, KING, NC 27021-1189
(336) 983-4313
(336) 983-3913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1361/0975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143M
BCBS
NC
01
—
1539870
UMWA
NC
01
—
237415449
TRICARE
NC
05
—
790143M
—
NC
Enumeration date
05/25/2006
Last updated
01/15/2021
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