Organization
LOOKING GLASS EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PHILLIPS (ADMINISTRATOR)
(828) 884-7320
Entity
Organization
Contact information
Practice address
188 MEDICAL PARK DRIVE, SUITE C, BREVARD, NC 28712-3035
(828) 884-7320
(828) 877-6191
Mailing address
188 MEDICAL PARK DR, SUITE C, BREVARD, NC 28712-3035
(828) 884-7320
(828) 877-6191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NC
207W00000X
Ophthalmology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890195G
—
NC
01
—
CK8048
MEDICARE RAILROAD
NC
Enumeration date
03/20/2006
Last updated
08/31/2011
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