Provider Demographics
NPI:1568796068
Name:OASIS EYE CARE OPTOMETRY P.A.
Entity Type:Organization
Organization Name:OASIS EYE CARE OPTOMETRY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-891-7777
Mailing Address - Street 1:PO BOX 1309
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28335-1309
Mailing Address - Country:US
Mailing Address - Phone:910-891-7777
Mailing Address - Fax:
Practice Address - Street 1:26 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7945
Practice Address - Country:US
Practice Address - Phone:919-661-7776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1787152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085J8OtherBCBS
NC89085J8Medicaid
NC89085J8Medicaid
NC5495660001Medicare NSC