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Organization

HAYWOOD OPTOMETRIC CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEROY ROBERSON (PRESIDENT)
(828) 456-7142
Entity
Organization

Contact information

Practice address
29 N MAIN ST, WAYNESVILLE, NC 28786-3886
(828) 456-8361
Mailing address
29 N MAIN ST, WAYNESVILLE, NC 28786-3886
(828) 456-8361

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0928
NC
152WC0802X
Corneal and Contact Management Optometrist
0928
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0262B
BC/BS
NC
01
1952419962
NPI
NC
01
22-70673
UHC #
NC
01
5856910001
DMERC
NC
05
5904769
NC
Enumeration date
08/29/2006
Last updated
06/21/2018
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