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
Update your record
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