MEDICARE: CAROLINA VISION CARE DRS. MCINTOSH & ASSOCIATES OD 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	332H00000X	Eyewear Supplier
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1841837085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA VISION CARE DRS. MCINTOSH & ASSOCIATES OD PA

Provider Business Mailing Address
First Line	:	1804 W ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5704
Country	:	US
Telephone Number	:	252-752-4380
Fax Number	:	252-757-0419

Provider Business Practice Location Address
First Line	:	915 E FIRE TOWER RD STE 108
Second Line	:
City	:	WINTERVILLE
State	:	NC
Zip	:	28590-9398
Country	:	US
Telephone Number	:	252-752-4380
Fax Number	:	252-757-0419

Authorized Official
Title or Position	:	CORPORATE OFFICER
Name	:	MELONIE R MCINTOSH
Credential	:
Telephone Number	:	252-752-4380

Provider Enumeration Date	:	12/06/2019
Last Update Date	:	12/06/2019

Similar Medicare Providers

1316922180 — DR. JAMES M O'DONAHUE JR. B.A., B.S., D.C.
Practice Location Address:

915 E FIRE TOWER RD STE 104 , O'DONAHUE CHIROPRACTIC
WINTERVILLE, NC
28590-9398

Practice Phone: 252-756-0837
Practice Fax: 252-756-7718

1770681074 — O DONAHUE CHIROPRACTIC PC
Practice Location Address:

915 E FIRE TOWER RD STE 104 , O DONAHUE CHIROPRACTIC PC
WINTERVILLE, NC
28590-9398

Practice Phone: 252-756-0837
Practice Fax: 252-756-7718

1427945518 — KAILO'S MENTAL RETREAT
Practice Location Address:

748 ADDINGTON DR
WINTERVILLE, NC
28590-7102

Practice Phone: 252-414-3318
Practice Fax: 252-677-6551

1154283760 — ANGELA DARE CLINE
Practice Location Address:

150 E FIRE TOWER RD
WINTERVILLE, NC
28590-8378

Practice Phone: 252-916-0354
Practice Fax:

1023969904 — LCDJ ENTERPRISES, LLC
Practice Location Address:

517 VERNON WHITE RD
WINTERVILLE, NC
28590-8691

Practice Phone: 252-412-7372
Practice Fax: 252-412-7372

1235111287 — DR. KENNETH LEE HICKS JR. D.C.
Practice Location Address:

610 OLD TAR VILLAGE RD STE E
WINTERVILLE, NC
28590-7936

Practice Phone: 252-215-0990
Practice Fax: 252-215-0922

Directions to “CAROLINA VISION CARE DRS. MCINTOSH & ASSOCIATES OD 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.