Organization
EYECARECENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON BAILEY OD (OWNER)
(636) 200-4393
Entity
Organization
Contact information
Practice address
2630 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(636) 200-4393
(336) 785-3002
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
—
0222680041
SUPPLIER NUMBER
NC
Enumeration date
03/17/2017
Last updated
09/29/2023
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