Bladen Eye Center Od Pa

NPI 1336299684 - Optometrist - 152W00000X

NPI Details
NPI 1336299684
Enumeration Date 01/11/2007
Last Updated 04/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIC E ERIC
Position PRESIDENT
Phone (910) 862-4268
Fax (910) 862-2057
Practice Location
409 EAST BROAD STREET
ELIZABETHTOWN NC, 28337-2589, US
Phone (910) 862-4268
Fax (910) 862-2057
Business Location
PO BOX 2589
ELIZABETHTOWN NC, 28337-2589, US
Phone (910) 862-4268
Fax (910) 862-2057
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1447
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According to our database, Bladen Eye Center Od Pa NPI is 1336299684, taxonomy code is 152W00000X and license number is 1447, license state is located at North Carolina. Bladen Eye Center Od Pa physically located at 409 East Broad Street, Elizabethtown NC, 28337-2589. NPI Number 1033115704 has the healthcare provider type.

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1336299684 NPI number is provided on an as is basis without warranty of any kind. 1336299684 is maintained by the National Plan & Provider Enumeration System. The contents of Bladen Eye Center Od Pa are for informational purposes only.