Alamance Eye Care, PA
Organization Active NPI Ophthalmology Physician · Mebane, NC
NPI 1164584694 · NPPES record last updated Dec 22, 2008
Key facts
- NPI
- 1164584694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- ALAMANCE EYE CARE, PA
- Practice address
- 101 Medical Park Dr
Mebane, NC 27302-7601 - Phone
- (919) 304-3937
- Fax
- (919) 304-3411
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Steven A Dingeldein, MD
- Title
- President
- Phone
- (336) 228-0254
Other NPIs on the same Medicare enrollment 2
Practitioners 10
-
Christopher Jaeyon Hwang, MD, MPH
-
Amy M Fowler, MD
-
Bradley Mark King, MD, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000222 | NC | Part B Supplier - Clinic/Group Practice | 6103722699 |
Receives reassigned benefits from 16 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burlington, NC; Mebane, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
101 Medical Park Dr
Mebane, NC 27302-7601
Mailing address
1016 Kirkpatrick Road
Burlington, NC 27215-9714
Phone (336) 228-0254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790181H | Medicaid | NC |
Other providers in Mebane, NC
- Caroline Elizabeth Adams
- Heather Dawn Adams
- Adoration Home Health Care Virginia LLC
- Agilitas USA, Inc
- Gabrielle Ollie Aiden
- Alamance Manor Assisted Living LLC
- Alamance Regional Medical Center, Inc.
- Barbara D Aldridge
- Katie Morgan Alexander
- Alpha Delta Family Services Group, Inc.
All providers in Mebane, NC · Ophthalmology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.