Organization
ALDRIDGE EYE INSTITUTE, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN MARIE BLACK (INSURANCE COORDINATOR)
(828) 682-2104
Entity
Organization
Contact information
Practice address
419 E MAIN ST, BURNSVILLE, NC 28714-3050
(828) 682-2104
(828) 682-4217
Mailing address
PO BOX 218, 419 EAST MAIN STREET, BURNSVILLE, NC 28714-0218
(828) 682-2104
(828) 682-4217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09016
BLUE CROSS BLUE SHIELD
NC
05
—
5909234
—
NC
05
—
5950031
—
NC
05
—
7909016
—
NC
Enumeration date
10/23/2007
Last updated
11/08/2022
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