Organization
ABERDEEN EYE CARE ASSOCIATES, OD PLLC
Active
Other names
Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN F BOLICK OD (OWNER)
(919) 847-0187
Entity
Organization
Contact information
Practice address
11088 N US HIGHWAY 15 501, ABERDEEN, NC 28315-2385
(910) 693-1226
(910) 692-8983
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
—
019YM
BLUECROSS BLUESHIELD
NC
05
—
5950138
—
NC
01
—
DN6370
RAILROAD MEDICARE
NC
Enumeration date
11/28/2007
Last updated
02/11/2013
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