Provider Demographics
NPI:1043108863
Name:NORTH CAROLINA PHYSICIANS EYECARE GROUP, P.C.
Entity type:Organization
Organization Name:NORTH CAROLINA PHYSICIANS EYECARE GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER, REVENUE CYCLE MANAG
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-208-1591
Mailing Address - Street 1:PO BOX 744351
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4351
Mailing Address - Country:US
Mailing Address - Phone:877-350-3399
Mailing Address - Fax:
Practice Address - Street 1:3030 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1722
Practice Address - Country:US
Practice Address - Phone:877-350-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty