Organization
CAPE FEAR OPTOMETRIC CLINIC PA
Active
Other names
Doctors Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES PHILBRICK OD (OWNER)
(910) 484-6178
Entity
Organization
Contact information
Practice address
665 S MAIN ST, SPARTA, NC 28675-9618
(336) 372-2253
Mailing address
665 S MAIN ST, SPARTA, NC 28675-9618
(336) 372-2253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC0844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912C
BLUE CROSS BLUE SHIELD
NC
05
—
89091C
—
NC
05
—
8909717
—
NC
Enumeration date
09/12/2006
Last updated
04/23/2008
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