Organization
HAWTHORNE EYE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN S NAGY M.D. (PRESIDENT)
(336) 768-4140
Entity
Organization
Contact information
Practice address
1364 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2932
(336) 768-4140
(336) 768-4487
Mailing address
1364 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2932
(336) 768-4140
(336) 768-4487
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
78804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0331C
BCBS
NC
01
—
2472021
MEDICARE GROUP
NC
05
—
890278J
—
NC
01
—
CE0337
RAILROAD MEDICARE
NC
Enumeration date
04/12/2006
Last updated
11/17/2020
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