Organization
CAROLINA OPTOMETRIC OF ARDEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEY A MOSIER (BUSINESS MANAGER)
(828) 681-8000
Entity
Organization
Contact information
Practice address
2145 HENDERSONVILLE RD, SUITE D, ARDEN, NC 28704-9723
(828) 681-8000
(828) 681-0990
Mailing address
2145 HENDERSONVILLE RD, SUITE D, ARDEN, NC 28704-9723
(828) 681-8000
(828) 681-0990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1243
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333100
MEDICARE
NC
01
—
4306620001
DMERC
NC
Enumeration date
07/09/2008
Last updated
09/10/2008
Update your record
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