Healthcare Provider Details

I. General information

NPI: 1326157215
Provider Name (Legal Business Name): FAMILY EYE CARE OF THE CAROLINAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 N SANDHILLS BLVD
ABERDEEN NC
28315-2382
US

IV. Provider business mailing address

1902 N SANDHILLS BLVD STE E
ABERDEEN NC
28315-2347
US

V. Phone/Fax

Practice location:
  • Phone: 910-692-2020
  • Fax: 800-308-9356
Mailing address:
  • Phone: 910-692-2020
  • Fax: 800-308-9356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER H DUNN
Title or Position: OFFICE MANAGER
Credential: COA
Phone: 910-692-2020