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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