CAROLINA PEDIATRIC EYE SPECIALISTS, PLLC; NPI #1427124643

Contact Information

CAROLINA PEDIATRIC EYE SPECIALISTS, PLLC

1025 VINEHAVEN DR
CONCORD, NC 28025-2439

Phone: 704-795-5588
Fax: 704-795-5591
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 PEDIATRIC EYE SPECIALISTS, PLLC

NPI # 1427124643

LBN Legal business name CAROLINA PEDIATRIC EYE SPECIALISTS, PLLC

Authorized official BUHILDA MCGRIFF - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 01/03/2013 - About 13 years ago

Identifiers

NC	License #	9701485
NC	Medicaid	8911296

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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