Organization
MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
Active
Other names
Myeyedr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE HEALEY (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
584 CHURCH ST N, CONCORD, NC 28025-4573
(704) 782-0677
(704) 262-9772
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
1849
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017AA
BCBS
NC
01
—
16745
SPECTERA
NC
01
—
2120312
MAMSI
NC
01
—
2200491
UHC
NC
01
—
37-1457054
CIGNA
NC
01
—
804276
COMMUNITY EYE CARE
NC
05
—
89093MH
—
NC
01
—
NC1849
EYEMED/ECPA
NC
Enumeration date
10/25/2006
Last updated
05/29/2022
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