MEDICARE: FRANKLIN EYE CARE 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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1972551927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN EYE CARE ASSOCIATES OD PA

Provider Business Mailing Address
First Line	:	3366 US 1 BYPASS NORTH
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525
Country	:	US
Telephone Number	:	919-494-2375
Fax Number	:	919-494-5805

Provider Business Practice Location Address
First Line	:	3366 US 1 NORTH BYPASS
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525
Country	:	US
Telephone Number	:	919-494-2375
Fax Number	:	919-494-5805

Authorized Official
Title or Position	:	CEO
Name	:	STEPHEN BOLICK
Credential	:	OD
Telephone Number	:	919-847-0187

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/22/2020

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