Provider Demographics
NPI:1487985248
Name:NEW CENTURY OPHTHALMOLOGY GROUP, PLLC
Entity type:Organization
Organization Name:NEW CENTURY OPHTHALMOLOGY GROUP, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:JINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-861-4494
Mailing Address - Street 1:PO BOX 914
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-0914
Mailing Address - Country:US
Mailing Address - Phone:919-861-4494
Mailing Address - Fax:919-861-4498
Practice Address - Street 1:5720 CREEDMOOR RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2382
Practice Address - Country:US
Practice Address - Phone:919-861-4494
Practice Address - Fax:919-861-4498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty