Organization
GASTON EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL D HOLLAND M.D. (PARTNER)
(704) 922-9808
Entity
Organization
Contact information
Practice address
820 LOWER DALLAS HWY, DALLAS, NC 28034-9368
(704) 922-9808
(704) 922-8213
Mailing address
820 LOWER DALLAS HWY, DALLAS, NC 28034-9368
(704) 922-9808
(704) 922-8213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1048
NC
152W00000X
Optometrist
1826
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185B
BLUE CROSS
NC
01
—
50344
MEDCOST
NC
05
—
890185B
—
NC
Enumeration date
11/15/2005
Last updated
08/07/2008
Update your record
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