Healthcare Provider Details

I. General information

NPI: 1285644500
Provider Name (Legal Business Name): NEW CENTURY OPHTHALMOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 WILLIAMSBORO ST
OXFORD NC
27565-5016
US

IV. Provider business mailing address

PO BOX 914
OXFORD NC
27565-0914
US

V. Phone/Fax

Practice location:
  • Phone: 919-693-6661
  • Fax: 919-690-1160
Mailing address:
  • Phone: 919-693-6661
  • Fax: 919-690-1160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberNC200000836
License Number StateNC

VIII. Authorized Official

Name: DR. VINOD KUMAR JINDAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 919-693-6661