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Organization

CAROLINA EYE PROSTHETICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA BOYD JEFFERSON BCO (PRESIDENT)
(336) 228-7877
Entity
Organization

Contact information

Practice address
420 MAPLE AVE, BURLINGTON, NC 27215-5934
(336) 228-7877
(336) 228-7514
Mailing address
420 MAPLE AVE, BURLINGTON, NC 27215-5934
(336) 228-7877
(336) 228-7514

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
335E00000X
Prosthetic/Orthotic Supplier
335E00000X
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0494I
BLUE CROSS BLUE SHIELD
NC
05
7704513
NC
Enumeration date
02/08/2006
Last updated
12/04/2023
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