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Organization

CAROLINA CENTER FOR EYE CARE, OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLYN VICTORIA JOHNSON OD (OWNER)
(336) 940-2015
Entity
Organization

Contact information

Practice address
5380 US HIGHWAY 158, SUITE 100, ADVANCE, NC 27006-6907
(336) 940-2015
(336) 940-2069
Mailing address
5380 US HIGHWAY 158, SUITE 100, ADVANCE, NC 27006-6907
(336) 940-2015
(336) 940-2069

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1813
NC

Other

Enumeration date
10/20/2006
Last updated
04/29/2021
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