Organization
M. SCOTT EDWARDS, OD, PA
Active
Other names
DOCTORS VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT EDWARDS OD (DR/OWNER)
(252) 332-5618
Entity
Organization
Contact information
Practice address
1488 MEMORIAL DR E, AHOSKIE, NC 27910-3926
(252) 332-5618
(252) 332-5598
Mailing address
1488 MEMORIAL DR E, AHOSKIE, NC 27910-3926
(252) 332-5618
(252) 332-5598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
964
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09249
BLUE CROSS BLUE SHIELD
NC
01
—
8909249
DIVISION OF SERVICES BLIN
NC
05
—
8909249
—
NC
Enumeration date
08/31/2006
Last updated
04/20/2008
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