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159 Sunset Dr, Blowing Rock, NC 28605-7205 | |
(828) 372-9225 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 159 Sunset Dr, Blowing Rock, 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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1740960095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Maria S Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518994060 PECOS PAC ID: 0244212322 Enrollment ID: I20080326000606 |
Mailing Address | Practice Location Address |
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259 Grouse Run Rd, Boone, NC 28607-7413 Ph: (336) 303-9587 | 159 Sunset Dr, Blowing Rock, NC 28605-7205 Ph: (828) 372-9225 |