| Appalachian Eye Associates Odpa | |
|
54 Hill St, Spruce Pine, NC 28777-8923 | |
| (828) 765-2020 | |
| (828) 765-2451 |
| Full Name | Appalachian Eye Associates Odpa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 54 Hill St, Spruce Pine, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538241518 | NPI | - | NPPES |
| 230505 | Other | NC | UNITED HEALTH CARE |
| 7909004 | Medicaid | NC | |
| 09004 | Other | NC | BLUECROSS |
| CC1562 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1129 (North Carolina) | Primary |
| Provider Name | Diane Woolbright Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114038767 PECOS PAC ID: 5799819835 Enrollment ID: I20110427000402 |
| Provider Name | Marvin Edwin Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811008451 PECOS PAC ID: 2062546104 Enrollment ID: I20110427000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Eye Associates Odpa 54 Hill St, Spruce Pine, NC 28777-8923 Ph: (828) 765-2020 | Appalachian Eye Associates Odpa 54 Hill St, Spruce Pine, NC 28777-8923 Ph: (828) 765-2020 |
Dr. Kenneth John Lentz Jr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 193 Walnut Ave, Spruce Pine, NC 28777 Phone: 828-765-4349 Fax: 828-765-6247 | |
Diane Walker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 54 Hill St, Spruce Pine, NC 28777 Phone: 828-765-2020 Fax: 828-765-2451 | |
Marvin Walker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 54 Hill St, Spruce Pine, NC 28777 Phone: 828-765-2020 Fax: 828-765-2451 |