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Organization

KIRBY EYE ASSOCIATES, O.D., P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANNON LEE KIRBY O.D. (OWNER/PROVIDER)
(252) 353-3937
Entity
Organization

Contact information

Practice address
1913 E FIRE TOWER RD STE B, GREENVILLE, NC 27858-4127
(252) 353-3937
(252) 353-3931
Mailing address
1913 E FIRE TOWER RD STE B, GREENVILLE, NC 27858-4127
(252) 353-3937
(252) 353-3931

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1814
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093E9
BCBS-NC
NC
01
189296
MEDCOST
NC
01
3150770
CIGNA HEALTHCARE
NC
01
53937
DAVIS VISION
01
5507604
AETNA
NC
01
5812930001
CIGNA GOVERNMENT SERVICES
NC
05
89093E9
NC
01
NC1814
EYEMED
NC
Enumeration date
07/26/2006
Last updated
04/08/2008
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