| |
220 Southtown Circle, Rolesville, NC 27571 | |
(919) 554-2440 | |
(919) 554-1571 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 220 Southtown Circle, Rolesville, 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 |
---|---|---|---|
1124136874 | NPI | - | NPPES |
89093KE | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1833 (North Carolina) | Primary |
Provider Name | Stephen J Merckle |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780637496 PECOS PAC ID: 7911902242 Enrollment ID: I20060920000321 |
Mailing Address | Practice Location Address |
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220 Southtown Circle, Rolesville, NC 27571 Ph: (919) 554-2440 | 220 Southtown Circle, Rolesville, NC 27571 Ph: (919) 554-2440 |
Dr. Stephen J Merckle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 Southtown Cir, Rolesville, NC 27571 Phone: 919-554-2440 Fax: 919-554-1571 |