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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
1575 HWY 66 SOUTH, KERNERSVILLE, NC 27284-7440
(336) 993-8514
(336) 993-8950
Mailing address
1575 HWY 66 SOUTH, KERNERSVILLE, NC 27284-7440
(336) 993-8514
(336) 993-8950

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09952
BLUECROSS
NC
01
410033143
RR MCR#
NC
Enumeration date
02/22/2007
Last updated
07/21/2022
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