Organization
MORGANTON EYE PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS W LEE (BUSINESS MANAGER, MEPPA)
(828) 433-1000
Entity
Organization
Contact information
Practice address
1622 E MARION ST, SHELBY, NC 28150-4939
(704) 482-2020
(704) 482-7707
Mailing address
335 E PARKER RD, MORGANTON, NC 28655-5112
(828) 433-1000
(828) 433-6274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223H
BLUE CROSS BLUE SHIELD NC
NC
05
—
890223H
—
NC
Enumeration date
03/13/2007
Last updated
07/17/2009
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