Organization
MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
Active
Other names
MyEyeDr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE HEALEY OD (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
1003 VANDORA SPRINGS RD, GARNER, NC 27529-3545
(919) 772-4575
(919) 772-4911
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2468327
MEDICARE GROUP NO
NC
05
—
5904985
—
NC
01
—
7901802
MEDICAID GROUP NO
NC
05
—
8909176
—
NC
Enumeration date
05/01/2006
Last updated
05/29/2022
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