Organization
ANDY AND PATTY CHAMPION OD PA
Active
Other names
Champion Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA P CHAMPION OD (OWNER)
(828) 650-2727
Entity
Organization
Contact information
Practice address
300 JULIAN LN, ARDEN, NC 28704-7809
(828) 650-2727
(828) 650-2725
Mailing address
300 JULIAN LN, ARDEN, NC 28704-7809
(828) 650-2727
(828) 650-2725
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213L
BCBS
NC
05
—
5917340
—
NC
Enumeration date
03/26/2007
Last updated
03/27/2013
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