Organization
COLUMBUS EYE ASSOCIATES OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L LEWIS OD (PRESIDENT/OWNER)
(910) 642-2020
Entity
Organization
Contact information
Practice address
221 JEFFERSON ST, SUITE A, WHITEVILLE, NC 28472-3415
(910) 642-2020
(910) 642-4549
Mailing address
PO BOX 1437, WHITEVILLE, NC 28472-1437
(910) 642-2020
(910) 642-4549
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09084
BCBS
NC
05
—
8909084
—
NC
Enumeration date
04/28/2006
Last updated
02/11/2014
Update your record
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