Healthcare Provider Details

I. General information

NPI: 1295799823
Provider Name (Legal Business Name): ASHEVILLE EYE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 06/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

IV. Provider business mailing address

8 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-1586
  • Fax: 828-258-1765
Mailing address:
  • Phone: 828-258-1586
  • Fax: 828-258-1765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1101X
TaxonomyOphthalmic Assistant
License Number72696
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number72696
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code156FX1900X
TaxonomyOrthoptist
License Number72696
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number72696
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License Number72696
License Number StateNC
# 6
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT E WIGGINS JR.
Title or Position: PHYSICIAN ADMINISTRATOR
Credential: M.D.
Phone: 828-258-1586