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is a Ophthalmology based in Canton, North Carolina. is licensed to practice in * (Not Available) (license number ) and their current practice location is 65 Park St, Canton, North Carolina. It can be reached at their office (for appointments etc.) via phone at (828) 648-2483.

NPI number for is 1124320932 and their current mailing address is 486 Hospital Dr, Clyde, North Carolina. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124320932.

Contact Information

65 Park St,
Canton, NC 28716-4323
(828) 648-2483
(828) 648-4689

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location65 Park St, Canton, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124320932
  • Provider Enumeration Date: 11/30/2010
  • Last Update Date: 11/30/2010

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124320932NPI-NPPES
0256VOtherNCBCBS
890256VMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))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. 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 AddressPractice Location Address

486 Hospital Dr,
Clyde, NC 28721-8026

Ph: (828) 452-5816
65 Park St,
Canton, NC 28716-4323

Ph: (828) 648-2483

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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