CAROLINA OPTICAL PARTNERS; NPI #1194920454

Contact Information

CAROLINA OPTICAL PARTNERS

2047 VALLEYGATE DR
FAYETTEVILLE, NC 28304-3688

Phone: 910-485-3937
Fax: 910-221-3671
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CAROLINA OPTICAL PARTNERS

NPI Number 1194920454

LBN Legal business name CAROLINA OPTICAL PARTNERS

Authorized official DEBORAH WOODCOCK - (SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/18/2007

Last updated 12/27/2007 - About 18 years ago

Identifiers

NC	License #	21583
NC	Medicaid	8802076

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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