Organization
WINSTON EYE ASSOCIATES OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. BURKE O.D. (VICE-PRESIDENT)
(336) 785-3486
Entity
Organization
Contact information
Practice address
2630 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(336) 785-3486
(336) 785-3002
Mailing address
2630 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(336) 785-3486
(336) 785-3002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09985
BLUECROSS
NC
01
—
410034342
RR MCR#
NC
05
—
8909985
—
NC
Enumeration date
02/21/2007
Last updated
07/21/2022
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