Provider Demographics
NPI:1164763975
Name:TRUEVISION EYE CARE OD PA
Entity Type:Organization
Organization Name:TRUEVISION EYE CARE OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPTOMETRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALECIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-649-8858
Mailing Address - Street 1:1004 LOWER SHILOH WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5431
Mailing Address - Country:US
Mailing Address - Phone:919-472-4070
Mailing Address - Fax:919-472-4069
Practice Address - Street 1:1004 LOWER SHILOH WAY
Practice Address - Street 2:SUITE 105
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5426
Practice Address - Country:US
Practice Address - Phone:919-263-2499
Practice Address - Fax:919-300-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1644152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890916XMedicaid
NCC389Medicare PIN