Provider Demographics
NPI:1285644500
Name:NEW CENTURY OPHTHALMOLOGY, PC
Entity Type:Organization
Organization Name:NEW CENTURY OPHTHALMOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:JINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-693-6661
Mailing Address - Street 1:PO BOX 914
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-0914
Mailing Address - Country:US
Mailing Address - Phone:919-693-6661
Mailing Address - Fax:919-690-1160
Practice Address - Street 1:1610 WILLIAMSBORO ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-5016
Practice Address - Country:US
Practice Address - Phone:919-693-6661
Practice Address - Fax:919-690-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC200000836207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC278888OtherANTHEM
NCOPH158OtherPRIMAHEALTH
NC129K5OtherBLUE CROSS BLUE SHIELD
NC296327OtherMAMSI/ALLIANCE PPO
NC160963OtherWELLPATH
NC7957242OtherRJ REYNOLDS
NC180043366OtherRAILROAD MEDICARE
NC1046375OtherCIGNA
NC1057205OtherUNITED HEALTHCARE
NCB2572OtherMEDCOST
NC89129K5Medicaid
NC2283968Medicare ID - Type Unspecified