Dr Sean Pitale, OD | |
4101 Campus Ridge Rd, Matthews, NC 28105-5077 | |
(704) 234-1930 | |
(704) 234-1940 |
Full Name | Dr Sean Pitale |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4101 Campus Ridge Rd, Matthews, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225289952 | NPI | - | NPPES |
5920824 | Medicaid | NC | |
0381 | Other | MEDICARE GROUP NUMBER FOR EMPLOYEE DR | |
3063 | Other | SC | MEDICARE GROUP NUMBER |
D15295 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG002130 (Pennsylvania) | Secondary |
152W00000X | Optometrist | 2166 (North Carolina) | Secondary |
152W00000X | Optometrist | 1529 (South Carolina) | Primary |
Provider Name | Metrolina Eye Associates, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700839305 PECOS PAC ID: 7315908498 Enrollment ID: O20140801000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Sean Pitale, OD 4101 Campus Ridge Rd, Matthews, NC 28105-5077 Ph: (704) 234-1930 | Dr Sean Pitale, OD 4101 Campus Ridge Rd, Matthews, NC 28105-5077 Ph: (704) 234-1930 |
Dr. Andrew Gallant Hahn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1419a Matthews Mint Hill Rd, Matthews, NC 28105 Phone: 704-847-1030 Fax: 704-849-8261 | |
Black Optometric Eye Associates,pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 518 W John St, Matthews, NC 28105 Phone: 704-847-9833 | |
Dr. Nicholas D Graham, O.D., M.S. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 855 Sam Newell Rd, Suite 203, Matthews, NC 28105 Phone: 843-245-0427 | |
Dr. Rashi Mathur, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9623 E Independence Blvd Ste P, Matthews, NC 28105 Phone: 704-321-7150 | |
Hahn Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1419a Matthews Mint Hill Rd, Matthews, NC 28105 Phone: 704-847-1030 Fax: 704-849-8261 | |
Dr. Kevin Dwayne Bigham, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14617 Lawyers Rd, Suite A, Matthews, NC 28104 Phone: 704-893-0090 Fax: 704-893-0944 |