| Carolina Center For Eye Care, Od Pa | |
|
5380 Us Highway 158, Suite 100, Advance, NC 27006-6907 | |
| (336) 940-2015 | |
| (336) 940-2069 |
| Full Name | Carolina Center For Eye Care, Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5380 Us Highway 158, Advance, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528141009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1813 (North Carolina) | Primary |
| Provider Name | Ellyn V Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386694917 PECOS PAC ID: 3577459718 Enrollment ID: I20040225000471 |
| Provider Name | Chris C Owens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649221961 PECOS PAC ID: 0840186086 Enrollment ID: I20040405001824 |
| Provider Name | Rickey L Sipe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346222403 PECOS PAC ID: 7517025026 Enrollment ID: I20081027000614 |
| Provider Name | Jeffrey R B Tarr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154654127 PECOS PAC ID: 6103967427 Enrollment ID: I20100108000727 |
| Provider Name | Carrie S Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013052596 PECOS PAC ID: 6204940018 Enrollment ID: I20120302000637 |
| Provider Name | Allison Douglas Lyerly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891121091 PECOS PAC ID: 5799914875 Enrollment ID: I20140213000405 |
| Provider Name | Andrew William Bradbury |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487063400 PECOS PAC ID: 3476876400 Enrollment ID: I20141226000356 |
| Provider Name | Lindsay Elizabeth Thornton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720729973 PECOS PAC ID: 3971960121 Enrollment ID: I20230605000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Center For Eye Care, Od Pa 5380 Us Highway 158, Suite 100, Advance, NC 27006-6907 Ph: (336) 940-2015 | Carolina Center For Eye Care, Od Pa 5380 Us Highway 158, Suite 100, Advance, NC 27006-6907 Ph: (336) 940-2015 |
Dr. Jeffrey Reile Bryson Tarr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5380 Us Highway 158, Suite 100, Advance, NC 27006 Phone: 336-940-2015 Fax: 336-940-2069 | |
Dr. Ellyn Victoria Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5380 Us Highway 158, Suite 100, Advance, NC 27006 Phone: 336-940-2015 Fax: 336-940-2069 | |
Dr. Christopher Charles Owens, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5380 Us Highway 158, Suite 100, Advance, NC 27006 Phone: 336-940-2015 Fax: 336-940-2069 | |
Lindsay Elizabeth Thornton, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5380 Us Highway 158, Advance, NC 27006 Phone: 336-940-2015 Fax: 336-940-2069 |