| |
2170 Midland Rd, Southern Pines, NC 28387-2927 | |
(910) 295-2100 | |
(910) 295-3625 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2170 Midland Rd, Southern Pines, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245211333 | NPI | - | NPPES |
01199 | Other | NC | BCBS |
8060 | Other | SC | SC MEDICARE |
CL9157 | Other | NC | RAILROAD MEDICARE |
NPA120 | Medicaid | SC | |
8901199 | Medicaid | NC | |
CD8017 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2170 Midland Rd, Southern Pines, NC 28387-2927 Ph: (910) 295-2100 | 2170 Midland Rd, Southern Pines, NC 28387-2927 Ph: (910) 295-2100 |