Organization
DR. THOMAS C. MCINTOSH & ASSOCIATES, OD, PA
Active
Other names
Carolina Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELONIE MCINTOSH (OFFICE MANAGER)
(252) 752-4380
Entity
Organization
Contact information
Practice address
1804 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-4380
(252) 757-0419
Mailing address
1804 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-4380
(252) 757-0419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1195
NC
332H00000X
Eyewear Supplier
1195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014HH
BCBS GROUP #
NC
05
—
89014HH
—
NC
Enumeration date
09/13/2006
Last updated
08/20/2009
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