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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
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