Healthcare Provider Details

I. General information

NPI: 1184305401
Provider Name (Legal Business Name): YORK EYE CARE OPTOMETRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3738 BATTLEGROUND AVE
GREENSBORO NC
27410-2344
US

IV. Provider business mailing address

4170 CLEMMONS RD STE 328
CLEMMONS NC
27012-7520
US

V. Phone/Fax

Practice location:
  • Phone: 336-692-0050
  • Fax:
Mailing address:
  • Phone: 336-692-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHNNY YORK
Title or Position: CHIEF OPERATING OFFICER
Credential: OD
Phone: 133-669-2005