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327 S 5th St, Saint Pauls, NC 28384-1741 | |
(910) 865-9800 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 327 S 5th St, Saint Pauls, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821139387 | NPI | - | NPPES |
890144Q | Medicaid | NC | |
0144Q | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (North Carolina) | Primary |
Provider Name | Nathan A Lieberman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336181643 PECOS PAC ID: 6204874258 Enrollment ID: I20050425000353 |
Provider Name | Ann K Lieberman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770519514 PECOS PAC ID: 7012955065 Enrollment ID: I20050504000356 |
Mailing Address | Practice Location Address |
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327 S 5th St, Saint Pauls, NC 28384-1741 Ph: (910) 865-9800 | 327 S 5th St, Saint Pauls, NC 28384-1741 Ph: (910) 865-9800 |