Mount Holly Eye Clinic, Od, Pa | |
612 S Main St, Mount Holly, NC 28120-1653 | |
(704) 822-0099 | |
(704) 822-0077 |
Full Name | Mount Holly Eye Clinic, Od, Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 612 S Main St, Mount Holly, 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 |
---|---|---|---|
1720261662 | NPI | - | NPPES |
890928G | Medicaid | NC | |
0928G | Other | NC | BLUE CROSS/BLUE SHIELD |
12304 | Other | NC | SPECTERA |
4622 | Other | NC | DAVIS VISION |
OP0469 | Other | NC | EYEMED |
NC 1387 | Other | NC | VISION BENEFITS OF AMERIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1387 (North Carolina) | Primary |
Provider Name | Angela M Fox-putnam |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992785836 PECOS PAC ID: 9436170503 Enrollment ID: I20051216000273 |
Mailing Address | Practice Location Address |
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Mount Holly Eye Clinic, Od, Pa 612 S Main St, Mount Holly, NC 28120-1653 Ph: (704) 822-0099 | Mount Holly Eye Clinic, Od, Pa 612 S Main St, Mount Holly, NC 28120-1653 Ph: (704) 822-0099 |
Dr. Michael Darren Emmett, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 132 W Charlotte Ave, Mount Holly, NC 28120 Phone: 704-827-2009 Fax: 704-827-0435 | |
Michael D Emmett Optometrist Medicare: Not Enrolled in Medicare Practice Location: 132 W Charlotte Ave, Mount Holly, NC 28120 Phone: 704-827-2009 Fax: 704-827-0435 | |
Dr. Angela Marie Fox-putnam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 612 S Main St, Mount Holly, NC 28120 Phone: 704-822-0099 Fax: 704-822-0077 |