Organization
APPALACHIAN EYE ASSOCIATES ODPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN WALKER O.D. (PRESIDENT)
(828) 765-2020
Entity
Organization
Contact information
Practice address
54 HILL ST, SPRUCE PINE, NC 28777-8923
(828) 765-2020
(828) 765-2451
Mailing address
54 HILL ST, SPRUCE PINE, NC 28777-8923
(828) 765-2020
(828) 765-2451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09004
BLUECROSS
NC
01
—
230505
UNITED HEALTH CARE
NC
05
—
7909004
—
NC
01
—
CC1562
RAILROAD MEDICARE
NC
Enumeration date
10/19/2006
Last updated
09/29/2014
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