OrganizationPediatric Opthalmology Assoc Pa(<Unavail>)OphthalmologyAllopathic & Osteopathic PhysiciansPractice Address1305 C West Wendover Avenue, Greensboro, NC 27408-8124(336) 271-2007PECOS EnrollmentBased on the most recent information from CMS, provider Pediatric Opthalmology Assoc Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1558327379Provider TypeOrganizationFull NamePediatric Opthalmology Assoc PaOther Name<Unavail>SubpartNoEnumeration Date4/21/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1305 C West Wendover Avenue, Greensboro, NC 27408-8124Phone(336) 271-2007Fax(336) 271-2904Mailing LocationMailing Address1305 C West Wendover Avenue, Greensboro, NC 27408-8124Phone(336) 271-2007Fax(336) 271-2904Authorized OfficialNameYoung, William O (President)Phone(336) 271-2007Provider TaxonomiesCodeDescriptionLicenseCode207W00000XPrimaryDescriptionOphthalmologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer