Provider Demographics
NPI:1699863068
Name:CAROLINA EYE CARE OF LINCOLN COUNTY OPTOMETRY PLLC
Entity type:Organization
Organization Name:CAROLINA EYE CARE OF LINCOLN COUNTY OPTOMETRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:NISHEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-735-7101
Mailing Address - Street 1:623 N HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7574
Mailing Address - Country:US
Mailing Address - Phone:704-483-2263
Mailing Address - Fax:704-483-6136
Practice Address - Street 1:623 N HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7574
Practice Address - Country:US
Practice Address - Phone:704-483-2263
Practice Address - Fax:704-483-6136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty