Organization
EYE CARE ASSOCIATES OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN F BOLICK OD (CEO)
(919) 847-0187
Entity
Organization
Contact information
Practice address
3500 N DUKE ST, SUITE 1, DURHAM, NC 27704-1707
(919) 595-2020
(919) 226-3735
Mailing address
7100 SIX FORKS RD, SUITE 301, RALEIGH, NC 27615-6156
(919) 847-0187
(919) 676-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020AT
BLUE CROSS BLUE SHIELD
NC
05
—
5950102
—
NC
01
—
CK2419
RAILROAD MEDICARE
NC
Enumeration date
01/28/2008
Last updated
04/14/2014
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