Organization
CENTRAL CAROLINA SURGICAL EYE ASSOCIATES, P.A.
Active
Organization
CENTRAL CAROLINA SURGICAL EYE ASSOCIATES, P.A.
Active
Other names
SOUTHEASTERN EYE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M RUSH (HR MANAGER)
(336) 282-5000
Entity
Organization
Contact information
Practice address
3312 BATTLEGROUND AVE, GREENSBORO, NC 27410-2402
(336) 282-5000
(336) 482-3778
Mailing address
PO BOX 38157, GREENSBORO, NC 27438-8157
(336) 282-5000
(336) 482-3778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01257
BCBS
NC
05
—
8901257
—
NC
Enumeration date
07/01/2005
Last updated
07/21/2022
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