Organization
NOVA EYE CARE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M KERNODLE JR. OD (OWNER/OD)
(336) 625-2020
Entity
Organization
Contact information
Practice address
328 N FAYETTEVILLE ST STE A, ASHEBORO, NC 27203-5594
(336) 625-2020
Mailing address
328 N FAYETTEVILLE ST STE A, ASHEBORO, NC 27203-5594
(336) 625-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011EN
BCBS
NC
Enumeration date
03/31/2009
Last updated
10/27/2014
Update your record
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