Asheboro Optometric Vision PA
Organization Active NPI Optometrist · Asheboro, NC
NPI 1306978069 · NPPES record last updated Sep 18, 2008
Key facts
- NPI
- 1306978069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1200 (NC)
- Legal business name
- ASHEBORO OPTOMETRIC VISION PA
- Practice address
- 177 NC Highway 42 N Ste B
Asheboro, NC 27203-7955 - Phone
- (336) 625-2429
- Fax
- (336) 625-9901
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark W Roberts V, O.D.
- Title
- President
- Phone
- (336) 625-2429
National Provider Directory
Locations
177 NC Highway 42 N
Ste B
Asheboro, NC 27203
Phone (336) 625-2429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1200 | NC | Yes |
Addresses
Primary practice location
177 NC Highway 42 N Ste B
Asheboro, NC 27203-7955
Mailing address
177 NC Highway 42 N Ste B
Asheboro, NC 27203-7955
Phone (336) 625-2429
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962684605 | Other | NC | INDIVIDUAL MEDICARE NPI |
| 09778 | Other | NC | BCBS |
| 8909778 | Medicaid | NC |
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- Asheboro Family Dentistry
- Asheboro Family Physicians of North Carolina, PA
- Asheboro Mind and Body Wellness PLLC
- Asheboro Opco LLC
- Asheboro Ophthalmology Assoc II PA
- Asheboro Orthopedic Clinic
- Asheboro Pathology Services, Inc
- Asheboro Psychiatric Services PLLC
- Asheboro Rehabilitation Center Inc.
- Asheboro Urology Clinic, PA
All providers in Asheboro, 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 18, 2008. 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.