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Contact Information

AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA
2047 VALLEYGATE DR
FAYETTEVILLE, NC28304-3688
 Phone: 919-590-4432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA

NPI Number 1285856690
LBN Legal business name AESTHETIC FACIAL & OCULAR PLASTIC SURGERY CENTER, PA
Authorized official FRANK CHRISTENSEN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 01/16/2019 - About 7 years ago
Identifiers
NC Medicaid 89-22474
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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