Organization
EYECARECENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON BAILEY OD (AUTHORIZED OFFICIAL)
(636) 200-4393
Entity
Organization
Contact information
Practice address
1575 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284-3516
(336) 993-8514
(336) 336-9936
Mailing address
PO BOX 207261, DALLAS, TX 75320-7261
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222680042
SUPPLIER NUMBER
NC
Enumeration date
03/17/2017
Last updated
09/29/2023
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