Organization
ROANOKE CHOWAN EYE CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IQBAL MAZHAR M.D. (PRESIDENT)
(252) 332-8016
Entity
Organization
Contact information
Practice address
420 PEACOCK ST, AHOSKIE, NC 27910-3930
(252) 332-8016
Mailing address
420 PEACOCK ST, AHOSKIE, NC 27910-3930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
N/A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02546
BC/BS NC
NC
01
—
A0331
MEDCOST
NC
Enumeration date
10/31/2006
Last updated
08/22/2020
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