Organization
BLUE RIDGE LASER EYE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA NELON (BILLING ADMINISTRATOR)
(828) 894-3037
Entity
Organization
Contact information
Practice address
1014 W POINSETT ST, GREER, SC 29650-1315
(828) 894-3037
(828) 894-7041
Mailing address
1014 W POINSETT ST, GREER, SC 29650-1315
(828) 894-3037
(828) 894-7041
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012RE
BCBS
NC
01
—
2333605
NC MEDICARE
NC
01
—
8597
SC MEDICARE
SC
01
—
DF8060
RR MEDICARE
—
Enumeration date
01/22/2008
Last updated
01/22/2008
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