Organization
EYECARECENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON BAILEY OD (OWNER)
(636) 200-4393
Entity
Organization
Contact information
Practice address
1001 E WT HARRIS BLVD, SUITE H, CHARLOTTE, NC 28213-4104
(636) 200-4393
(704) 549-0606
Mailing address
PO BOX 207261, DALLAS, TX 75320-7261
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014F5
BCBS
NC
01
—
0222680037
SUPPLIER NUMBER
NC
05
—
1750333514
—
NC
Enumeration date
05/17/2006
Last updated
09/29/2023
Update your record
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