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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
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