| |
992 Us Highway 264 Byp, Belhaven, NC 27810-9290 | |
(252) 943-3801 | |
(252) 943-2925 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 992 Us Highway 264 Byp, Belhaven, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982662151 | NPI | - | NPPES |
5916188 | Medicaid | NC | |
09691 | Other | NC | BCBS OF NC GROUP # (SATELLITE OF WSH) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | 992 Us Highway 264 Byp, Belhaven, NC 27810-9290 Ph: (252) 943-3801 |