Organization
MOUNTAIN EYE ASSOCIATES PLLC
Active
Parent organization
MOUNTAIN EYE ASSOCIATES PLLC
Other names
MOUNTAIN EYE ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN EYE ASSOCIATES PLLC
Authorized official
MR. DAVID MARKOFF (OWNER)
(828) 452-5816
Entity
Organization
Contact information
Practice address
65 PARK ST, CANTON, NC 28716-4323
(825) 648-2483
(828) 648-4689
Mailing address
486 HOSPITAL DR, CLYDE, NC 28721-8026
(828) 452-5816
(828) 452-0373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256V
BCBS
NC
05
—
890256V
—
NC
Enumeration date
11/10/2010
Last updated
10/31/2016
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