| Cape Fear Optometric Clinic Pa | |
|
665 S Main St, Sparta, NC 28675-9618 | |
| (336) 372-2253 | |
| Not Available |
| Full Name | Cape Fear Optometric Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 665 S Main St, Sparta, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821192402 | NPI | - | NPPES |
| 0912C | Other | NC | BLUE CROSS BLUE SHIELD |
| 89091C | Medicaid | NC | |
| 8909717 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | NC0844 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Optometric Clinic Pa 665 S Main St, Sparta, NC 28675-9618 Ph: (336) 372-2253 | Cape Fear Optometric Clinic Pa 665 S Main St, Sparta, NC 28675-9618 Ph: (336) 372-2253 |
Logan Oliver, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18 Grayson St, Sparta, NC 28675 Phone: 336-372-4493 Fax: 336-372-2035 | |
Oliver Optometric Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 18 Grayson St, Sparta, NC 28675 Phone: 336-372-4493 Fax: 336-372-2035 | |
Keith Oliver Dr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18 S Grayson St, Sparta, NC 28675 Phone: 336-372-4493 Fax: 336-372-2035 |