| Optometric Center, P.a. | |
|
2900 Croasdaile Dr Durham NC 27705-2579 | |
| (919) 683-2020 | |
| (919) 683-2020 |
| Full Name | Optometric Center, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Croasdaile Dr, Durham, North Carolina |
| Authorized Official Name and Position | Bruce Pate (DOCTOR) |
| Authorized Official Contact | 9196832020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optometric Center, P.a. 2900 Croasdaile Dr Durham NC 27705-2579 Ph: () - | Optometric Center, P.a. 2900 Croasdaile Dr Durham NC 27705-2579 Ph: (919) 683-2020 |
| NPI Number | 1609068212 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 03/06/2008 |
| Medicare PECOS PAC ID | 4385650043 |
|---|---|
| Medicare Enrollment ID | O20060316000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609068212 | NPI | - | NPPES |
| 5901433 | Medicaid | NC | |
| 093TX | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1962 (North Carolina) | Primary |
| Provider Name | Bruce A Pate |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003805565 PECOS PAC ID: 9133161508 Enrollment ID: I20050525000945 |
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