Provider Demographics
NPI:1215994371
Name:DR. FOX EYE CARE GROUP IN OPTOMETRY OD PA
Entity type:Organization
Organization Name:DR. FOX EYE CARE GROUP IN OPTOMETRY OD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FOX
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:919-263-2020
Mailing Address - Street 1:642 FRIENDLY CENTER RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7804
Mailing Address - Country:US
Mailing Address - Phone:919-263-2020
Mailing Address - Fax:919-457-1455
Practice Address - Street 1:4325 GLENWOOD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4536
Practice Address - Country:US
Practice Address - Phone:919-786-0141
Practice Address - Fax:919-786-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC013PAOtherBCBS OF NC
2338389Medicare ID - Type Unspecified