MEDICARE: GRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4496151	OTHER	NC	AETNA
2	1774	OTHER	NC	BCBS
3	A02944	OTHER	NC	EYEMED
4	NC36626	OTHER	NC	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598700114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 3445
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28603-3445
Country	:	US
Telephone Number	:	828-322-2050
Fax Number	:	828-345-0522

Provider Business Practice Location Address
First Line	:	2424 CENTURY PL SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4031
Country	:	US
Telephone Number	:	828-322-2050
Fax Number	:	828-345-0522

Authorized Official
Title or Position	:	CREDENTIALING/CONTRACTING/BUSINESS
Name	:	SHERRY B CALHOUN
Credential	:
Telephone Number	:	828-322-2050

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	03/10/2026

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