David Lauren Fitzgerald Od Pa is a
Optometrist based in Farmville, North Carolina. David Lauren Fitzgerald Od Pa is licensed to practice in North Carolina (license number 1408) and their current practice location is
3450 S Contentnea St, Farmville, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(252) 753-3325.
NPI number for David Lauren Fitzgerald Od Pa is 1851359566 and their current mailing address is 3450 S Contentnea St, Farmville, North Carolina. David Lauren Fitzgerald Od Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1851359566.
Healthcare Provider's Profile
| Full Name | David Lauren Fitzgerald Od Pa |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
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| Location | 3450 S Contentnea St, Farmville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851359566
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 06/25/2015
Medical Identifiers
Medical identifiers for David Lauren Fitzgerald Od Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851359566 | NPI | - | NPPES |
| 0455290001 | Other | | DMERC |
| 562054972 | Other | NC | CHAMPUS |
| 0250Q | Other | NC | BCBS |
| 890250Q | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1408 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Lauren Fitzgerald Od Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Lauren Fitzgerald Od Pa
3450 S Contentnea St,
Farmville, NC 27828-1686
Ph: (252) 753-3325 | David Lauren Fitzgerald Od Pa
3450 S Contentnea St,
Farmville, NC 27828-1686
Ph: (252) 753-3325 |
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