Ahoskie Eye Care OD PA Dba Windsor Eye Care
Organization Active NPI Optometrist · Windsor, NC
NPI 1306083803 · NPPES record last updated Sep 22, 2009
Key facts
- NPI
- 1306083803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- NC1332 (NC)
- Legal business name
- AHOSKIE EYE CARE OD PA DBA WINDSOR EYE CARE
- Practice address
- 106 N King Street
Windsor, NC 27983-6863 - Phone
- (252) 794-3381
- Fax
- (252) 794-3371
- NPI assigned
- Jan 21, 2009
- Reactivated
- Jul 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Brad Eric Hauser, O.D.
- Title
- President/Optometrist
- Phone
- (252) 332-2020
Practitioners 2
-
Brad E Hauser, O.D.
-
Kerry P Sullivan, OD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | NC1332 | NC | Yes |
| Corneal and Contact Management Optometrist |
152WC0802X | NC1332 | NC |
Addresses
Primary practice location
106 N King Street
Windsor, NC 27983-6863
Mailing address
P.O. Box 160
Windsor, NC 27983-6863
Phone (252) 794-3381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950660 | Medicaid | NC | |
| 8802140 | Medicaid | NC |
Other names
- Windsor Eye Care
Other providers in Windsor, NC
- A Pathway to Independence
- Advanced Adjusters and Associates, Inc.
- Albemarle Regional Health Services
- Albemarle Regional Health Services
- Albemarle Regional Health Services
- Kelly Rhodes Baggett
- Jennifer Joy Barber
All providers in Windsor, NC · Optometrist 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 Sep 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.