Organization
GREENSBORO OPHTHALMOLOGY ASC LLC
Active
Other names
Surgical Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN D APPLE (MANAGER)
(910) 255-2070
Entity
Organization
Contact information
Practice address
3312 BATTLEGROUND AVENUE, GREENSBORO, NC 27410-2402
(336) 282-8331
(336) 282-2625
Mailing address
3312 BATTLEGROUND AVENUE, GREENSBORO, NC 27410-2402
(336) 282-8331
(336) 282-2625
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409924
—
NC
01
—
490004996
RAILROAD MEDICARE
NC
05
—
7603762
—
VA
Enumeration date
02/09/2006
Last updated
08/17/2018
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