Provider Demographics
NPI:1326157215
Name:FAMILY EYE CARE OF THE CAROLINAS PA
Entity Type:Organization
Organization Name:FAMILY EYE CARE OF THE CAROLINAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:COA
Authorized Official - Phone:910-692-2020
Mailing Address - Street 1:1902 N SANDHILLS BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2347
Mailing Address - Country:US
Mailing Address - Phone:910-692-2020
Mailing Address - Fax:800-308-9356
Practice Address - Street 1:1902 N SANDHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2382
Practice Address - Country:US
Practice Address - Phone:910-692-2020
Practice Address - Fax:800-308-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6069980001Medicare NSC