Organization
CAROLINA FAMILY OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY DRENNEN CRIM OD (PARTNER/OWNER)
(704) 872-0616
Entity
Organization
Contact information
Practice address
1116 CROSSROADS DR, STATESVILLE, NC 28625-8277
(704) 872-0616
(704) 872-6494
Mailing address
1116 CROSSROADS DR, STATESVILLE, NC 28625-8277
(704) 872-0616
(704) 872-6494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1887
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015EX
GROUP NUMBER (BCBS)
NC
Enumeration date
05/03/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up