| |
336 10th Ave Ne, Hickory, NC 28601-3834 | |
(828) 322-4973 | |
(828) 322-1636 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 336 10th Ave Ne, Hickory, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881652469 | NPI | - | NPPES |
89012X4 | Medicaid | NC | |
181026743 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1831 (North Carolina) | Secondary |
207W00000X | Ophthalmology | 17219 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
336 10th Ave Ne, Hickory, NC 28601-3834 Ph: (828) 322-4973 | 336 10th Ave Ne, Hickory, NC 28601-3834 Ph: (828) 322-4973 |