| Carolina Eye Doctors Od Pllc | |
|
4350 Main St Ste 107 Harrisburg NC 28075-7439 | |
| (305) 282-0561 | |
| Not Available |
| Full Name | Carolina Eye Doctors Od Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4350 Main St Ste 107, Harrisburg, North Carolina |
| Authorized Official Name and Position | Chantel Nicole Garcia Tarbett (OPTOMETRIST) |
| Authorized Official Contact | 7043223600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Eye Doctors Od Pllc 4350 Main St Ste 107 Harrisburg NC 28075-7439 Ph: () - | Carolina Eye Doctors Od Pllc 4350 Main St Ste 107 Harrisburg NC 28075-7439 Ph: (305) 282-0561 |
| NPI Number | 1710497698 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 01/03/2018 |
| Medicare PECOS PAC ID | 7517220726 |
|---|---|
| Medicare Enrollment ID | O20180420000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710497698 | NPI | - | NPPES |
| 2409 | Other | NC | NC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2409 (North Carolina) | Primary |
| Provider Name | Chantel Nicole Garcia Tarbett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952666406 PECOS PAC ID: 8426204876 Enrollment ID: I20150722003553 |
| Provider Name | Aaron Keith Tarbett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093801565 PECOS PAC ID: 8325058134 Enrollment ID: I20180711002440 |
| Provider Name | Marissa Joan Ferris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740858257 PECOS PAC ID: 5092113555 Enrollment ID: I20211013002783 |
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