Provider Demographics
NPI:1912471582
Name:PRIMARY EYE CARE ASSOCIATES, OD, PA
Entity Type:Organization
Organization Name:PRIMARY EYE CARE ASSOCIATES, OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIKOLICH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:828-253-3533
Mailing Address - Street 1:1 PAGE AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2391
Mailing Address - Country:US
Mailing Address - Phone:828-253-3533
Mailing Address - Fax:828-253-3389
Practice Address - Street 1:1 PAGE AVE STE 118
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2391
Practice Address - Country:US
Practice Address - Phone:828-253-3533
Practice Address - Fax:828-253-3389
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIMARY EYE CARE ASSOCIATES, OD, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty