MEDICARE: MCCORMICK OPHTHALMOLOGY PA

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

General Provider Information

NPI Number	:	1568536563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCORMICK OPHTHALMOLOGY PA

Provider Business Mailing Address
First Line	:	8015 CREEDMOOR RD
Second Line	:	SUITE 201
City	:	RALEIGH
State	:	NC
Zip	:	27613-4397
Country	:	US
Telephone Number	:	919-870-1410
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 CREEDMOOR RD
Second Line	:	SUITE 201
City	:	RALEIGH
State	:	NC
Zip	:	27613-4397
Country	:	US
Telephone Number	:	919-870-1410
Fax Number	:

Authorized Official
Title or Position	:	CHAIRMAN OF THE BOARD
Name	:	KEITH LYNDON MCCORMICK
Credential	:	M.D.
Telephone Number	:	919-870-1410

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	05/20/2014

Similar Medicare Providers

1720366610 — BONNY REID MSW, IBCLC
Practice Location Address:

8015 CREEDMOOR RD
RALEIGH, NC
27613-4397

Practice Phone: 910-202-3155
Practice Fax:

1205955887 — DR. CYNTHIA NICHOLS ELDERKIN D.D.S.
Practice Location Address:

8015 CREEDMOOR RD , SUITE 202
RALEIGH, NC
27613-4397

Practice Phone: 919-847-8747
Practice Fax: 919-847-8747

1376747469 — CYNTHIA N. ELDERKIN, D.D.S., P.A.
Practice Location Address:

8015 CREEDMOOR RD , SUITE 202
RALEIGH, NC
27613-4397

Practice Phone: 919-847-8747
Practice Fax:

1770079113 — CLAUDEL PILON GIGGEY
Practice Location Address:

8015 CREEDMOOR RD STE 202
RALEIGH, NC
27613-4397

Practice Phone: 919-847-8747
Practice Fax:

1427766112 — FULLER & ASSOCIATES 11, PLLC
Practice Location Address:

8015 CREEDMOOR RD STE 202
RALEIGH, NC
27613-4397

Practice Phone: 919-847-8747
Practice Fax:

1932916780 — COASTAL HORIZONS CENTER INC
Practice Location Address:

8015 CREEDMOOR RD
RALEIGH, NC
27613-4397

Practice Phone: 910-202-3155
Practice Fax:

Directions to “MCCORMICK OPHTHALMOLOGY PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.