Organization
DR THOMAS A MEBANE OD
Active
Other names
Thomas A Mebane OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALLEN MEBANE OD (OWNER DOCTOR)
(252) 537-3401
Entity
Organization
Contact information
Practice address
444 JACKSON STREET, ROANOKE RAPIDS, NC 27870
(252) 537-3401
(252) 537-8872
Mailing address
444 JACKSON STREET, ROANOKE RAPIDS, NC 27870
(252) 537-3401
(252) 537-8872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09574
BCBS
NC
05
—
7909574
—
NC
Enumeration date
12/21/2005
Last updated
02/21/2008
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