Provider Demographics
NPI:1457382293
Name:OXFORD EYE CENTER
Entity Type:Organization
Organization Name:OXFORD EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-693-4611
Mailing Address - Street 1:115 GILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3307
Mailing Address - Country:US
Mailing Address - Phone:919-693-4611
Mailing Address - Fax:919-693-4612
Practice Address - Street 1:115 GILLIAM ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3307
Practice Address - Country:US
Practice Address - Phone:919-693-4611
Practice Address - Fax:919-693-4612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0340152W00000X
NC1231152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0270XOtherBCBSNC
NC890270XMedicaid
NCCN2447Medicare PIN
NC0270XOtherBCBSNC
NC0163040001Medicare NSC