Provider Demographics
NPI:1255701710
Name:SALISBURY EYECARE AND EYEWEAR OD PLLC
Entity type:Organization
Organization Name:SALISBURY EYECARE AND EYEWEAR OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:JADE
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:734-945-0782
Mailing Address - Street 1:228 W COUNCIL ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4323
Mailing Address - Country:US
Mailing Address - Phone:704-310-5002
Mailing Address - Fax:704-310-5003
Practice Address - Street 1:228 W COUNCIL ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4323
Practice Address - Country:US
Practice Address - Phone:704-310-5002
Practice Address - Fax:704-310-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2148261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center