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Contact Information

PRIMARY EYE CARE ASSOC OD PA
997 OLD US HWY 70
SUITE D SWANNANOA VALLEY MEDICAL CENTER
BLACK MOUNTAIN, NC28711
 Phone: 828-669-2901
 Fax: 828-669-4257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PRIMARY EYE CARE ASSOC OD PA · (Female)

NPI Number 1407935158
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 1156
  • NC Medicaid 7909805
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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