Organization
DOCTORS VISION CENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M BURGESS (CREDENTIALING SPECIALIST)
(252) 442-0802
Entity
Organization
Contact information
Practice address
3 WALDEN RIDGE DR, SUITE 100, ASHEVILLE, NC 28803-8586
(828) 681-5959
(828) 681-5960
Mailing address
3 WALDEN RIDGE DR, SUITE 100, ASHEVILLE, NC 28803-8586
(828) 681-5959
(828) 681-5960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018GY
BCBS GROUP NUMBER
NC
05
—
5903903
—
NC
Enumeration date
06/15/2006
Last updated
10/19/2009
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