Organization
SHELBY EYE CENTERS, P.A.
Active
Other names
Shelby Eye Centers, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ELLEN CLINE MD (PHYSICIAN / VICE PRESIDENT)
(704) 482-6767
Entity
Organization
Contact information
Practice address
1170 WYKE RD, SHELBY, NC 28150-4259
(704) 482-6767
(704) 600-6232
Mailing address
1170 WYKE RD, SHELBY, NC 28150-4259
(704) 482-6767
(704) 600-6232
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200001408204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0267J
BLUE CROSS BLUE SHIELD
NC
01
—
7204125
CIGNA HEALTHCARE
NC
05
—
890267J
—
NC
01
—
CC4125
RAILROAD MEDICARE
NC
05
—
D12822
—
SC
05
—
GP3976
—
SC
Enumeration date
09/20/2006
Last updated
10/13/2023
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