Organization
SOUTHERN EYE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP L MARTIN (PRESIDENT)
(919) 571-0081
Entity
Organization
Contact information
Practice address
2801 BLUE RIDGE RD, SUITE 200, RALEIGH, NC 27607-6474
(919) 571-0081
(919) 787-3591
Mailing address
2801 BLUE RIDGE RD, SUITE 200, RALEIGH, NC 27607-6474
(919) 571-0081
(919) 787-3591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000183820
HIGHMARK BCBS
NC
01
—
01395
BCBS CLINIC
NC
05
—
7901395
—
NC
01
—
CL944
RAILROAD MEDICARE
NC
Enumeration date
05/10/2006
Last updated
06/22/2010
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