Provider Demographics
NPI:1720017676
Name:ASHEVILLE VISION ASSOCIATES OD PA
Entity Type:Organization
Organization Name:ASHEVILLE VISION ASSOCIATES OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:828-667-8856
Mailing Address - Street 1:800 BREVARD RD
Mailing Address - Street 2:SUITE 772A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2251
Mailing Address - Country:US
Mailing Address - Phone:828-667-8856
Mailing Address - Fax:828-667-4522
Practice Address - Street 1:3 S TUNNEL RD
Practice Address - Street 2:SPACE K4
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2238
Practice Address - Country:US
Practice Address - Phone:828-299-0055
Practice Address - Fax:828-299-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1288152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC015JCOtherBCBS GROUP
NC015JCOtherBCBS GROUP