Provider Demographics
NPI:1114196292
Name:OMAN OPTOMETRIC EYE CARE, PA
Entity Type:Organization
Organization Name:OMAN OPTOMETRIC EYE CARE, PA
Other - Org Name:OMAN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:HANFORD
Authorized Official - Last Name:OMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-288-3937
Mailing Address - Street 1:2100 W CORNWALLIS DR STE J
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7015
Mailing Address - Country:US
Mailing Address - Phone:336-288-3937
Mailing Address - Fax:336-288-8177
Practice Address - Street 1:2100 W CORNWALLIS DR STE J
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7015
Practice Address - Country:US
Practice Address - Phone:336-288-3937
Practice Address - Fax:336-288-8177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1759152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89093F3Medicaid
NC093F3OtherBLUE CROSS BLUE SHIELD
NC2200377OtherUNITED HEALTH CARE
NC2471701AMedicare UPIN