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
1520 SOUTH BLVD STE 105, CHARLOTTE, NC 28203-4786
(704) 392-2020
(704) 399-8029
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02863
BCBSNC GROUP NUMBER
NC
05
—
8902863
—
NC
01
—
CA8262
RR MEDICARE GROUP
NC
Enumeration date
05/18/2006
Last updated
09/29/2023
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