Provider Demographics
NPI:1679993554
Name:EYECARE OPTICS, OD, PA
Entity type:Organization
Organization Name:EYECARE OPTICS, OD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-983-2691
Mailing Address - Street 1:781 LEONARD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-5257
Mailing Address - Country:US
Mailing Address - Phone:704-983-2691
Mailing Address - Fax:704-983-2691
Practice Address - Street 1:781 LEONARD AVE
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5257
Practice Address - Country:US
Practice Address - Phone:704-983-2691
Practice Address - Fax:704-983-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty