Organization
EAST CAROLINA OPTOMETRIC CARE, PA
Active
Other names
East Carolina Optometric Care,PA, Front Street Optometric Care, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY L. JACKSON O.D. (DOCTOR/OWNER/PRESIDENT)
(910) 540-1969
Entity
Organization
Contact information
Practice address
2322 JAMES B WHITE HWY N, WHITEVILLE, NC 28472
(910) 914-6442
Mailing address
2322 JAMES B. WHITE HWY NORTH, WHITEVILLE, NC 28472
(910) 914-6442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1900
NC
152W00000X
Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900
STATE LICENSE
NC
05
—
89093N2
—
NC
Enumeration date
11/28/2007
Last updated
11/14/2022
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