Organization
KERNERSVILLE EYE ASSOCIATES, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUN T SUBRAMANIAN O.D., F.A.A.O. (OWNER)
(336) 992-0010
Entity
Organization
Contact information
Practice address
1030 S MAIN ST, SUITE Q, KERNERSVILLE, NC 27284-7490
(336) 992-0010
(336) 245-4636
Mailing address
1635 NC HIGHWAY 66 S STE 155, KERNERSVILLE, NC 27284-3855
(336) 992-0010
(336) 245-4636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093U1
BCBS OF NC
—
01
—
2630870
UNITED HEALTHCARE
—
05
—
5905630
—
NC
01
—
7866788
AETNA US HEALTHCARE
—
01
—
807938
PARTNERS NATIONAL HEALTH PLAN
NC
01
—
P00450033
PALMETTO GBA RAILROAD MEDICARE
NC
Enumeration date
02/02/2010
Last updated
09/03/2020
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