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Organization

CAROLINA VISION CARE DR. THOMAS C. MCINTOSH OD PA

Active
Other names
Carolina Vison Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELONIE MCINTOSH (OFFICE MANAGER)
(252) 752-4380
Entity
Organization

Contact information

Practice address
1804 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-4380
(252) 757-0419
Mailing address
1804 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-4380
(252) 757-0419

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1195
NC
332H00000X
Eyewear Supplier
1195
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011H7
BCBS GROUP
NC
01
410017944
MEDICARE RAILROAD
NC
05
89011H7
NC
Enumeration date
09/01/2006
Last updated
06/30/2008
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