Organization
UNIVERSITY EYE ASSOCIATES, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARSON (PRACTICE BILLING & INSURANCE MANAGE)
(704) 547-1551
Entity
Organization
Contact information
Practice address
455 S MAIN ST, SUITE 100, DAVIDSON, NC 28036-8019
(704) 896-9090
(704) 896-9680
Mailing address
455 S MAIN ST, SUITE 100, DAVIDSON, NC 28036-8019
(704) 896-9090
(704) 896-9680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014PM
BLUE CROSS BLUE SHIELD
NC
05
—
89014N9
—
NC
Enumeration date
05/01/2006
Last updated
02/06/2008
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