Mallory L Chambliss Odpa is a Optometrist Center in Winston Salem, North Carolina. It is situated at 3320 Silas Creek Pkwy, Suite 150, Winston Salem and its contact number is 336-760-4240. The authorized person of Mallory L Chambliss Odpa is Dr. Mallory L Chambliss
who is President of the clinic and their contact number is 336-760-4240. Primary license number for Mallory L Chambliss Odpa is 0793 (Optometrist) in North Carolina. Mallory L Chambliss Odpa Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Mallory L Chambliss Odpa Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
3320 Silas Creek Pkwy, Suite 150, Winston Salem, North Carolina, 27103-3031
Phone:
336-760-4240
Fax:
336-760-4240
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mallory L Chambliss
Position:
President
Contact Number:
336-760-4240
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mallory L Chambliss Odpa Center are as mentioned below.
NPI Number:
1912177676
NPI Enumeration Date:
08 Mar, 2008
NPI Last Update On:
19 Aug, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory L Chambliss Odpa are as mentioned below.
Specialization
License Number
State
Status
Optometrist
0793
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
09147
Other
North Carolina
Blue Cross Blue Shield
8909147
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mallory L Chambliss Odpa Po Box 279, Rural Hall, North Carolina
Zip:
27045-0279
Phone Number:
336-760-4240
Fax Number:
336-760-4240
Patients can reach Mallory L Chambliss Odpa at 3320 Silas Creek Pkwy, Suite 150, Winston Salem, North Carolina or can call to book an appointment on 336-760-4240. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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