Provider Demographics
NPI:1770764946
Name:FIRST CHOICE EYE CARE, OD, PLLC
Entity type:Organization
Organization Name:FIRST CHOICE EYE CARE, OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-893-0090
Mailing Address - Street 1:14617 LAWYERS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-3219
Mailing Address - Country:US
Mailing Address - Phone:704-893-0090
Mailing Address - Fax:704-893-0944
Practice Address - Street 1:14617 LAWYERS RD
Practice Address - Street 2:SUITE A
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-3219
Practice Address - Country:US
Practice Address - Phone:704-893-0090
Practice Address - Fax:704-893-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890925EMedicaid
803877OtherCOMMUNITY EYE
90703OtherMAMSI
NC0925EOtherBCBS
B9267OtherMEDCOST PREFERRED
DD2824OtherRAILROAD MEDICARE
22.00365OtherUNITED HEALTHCARE
B9267OtherMEDCOST
24119OtherAVESIS
68011OtherBEACHSTREET
803877OtherPARTNERS MEDICARE
ND1746OtherVISION BENEFITS OF AMERIC
24119OtherAVESIS
803877OtherPARTNERS MEDICARE