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610 Jetton St Ste 140, Davidson, NC 28036-0029 | |
(704) 997-8199 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 610 Jetton St Ste 140, Davidson, 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 |
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1194413146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Timothy Poirier |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053420638 PECOS PAC ID: 6406941467 Enrollment ID: I20080409000079 |
Provider Name | Kendra J Hatfield |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841502150 PECOS PAC ID: 7618153289 Enrollment ID: I20110516000531 |
Mailing Address | Practice Location Address |
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742 Mcknight Dr Ste 100, Knightdale, NC 27545-7764 Ph: (919) 266-2048 | 610 Jetton St Ste 140, Davidson, NC 28036-0029 Ph: (704) 997-8199 |
University Eye Associates, Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 455 S Main St, Suite 100, Davidson, NC 28036 Phone: 704-896-9090 Fax: 704-896-9680 |