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9710 Sam Furr Rd Unit A Huntersville NC 28078-4928 | |
(901) 212-7876 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 9710 Sam Furr Rd Unit A, Huntersville, North Carolina |
Authorized Official Name and Position | Jason Crawford (OPTOMETRIST/PRESIDENT) |
Authorized Official Contact | 9012127876 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9710 Sam Furr Rd Unit A Huntersville NC 28078-4928 Ph: (901) 212-7876 | 9710 Sam Furr Rd Unit A Huntersville NC 28078-4928 Ph: (901) 212-7876 |
NPI Number | 1124215645 |
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Provider Enumeration Date | 09/28/2007 |
Last Update Date | 07/29/2009 |
Medicare PECOS PAC ID | 4486743176 |
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Medicare Enrollment ID | O20081122000173 |
Identifier | Type | State | Issuer |
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1124215645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jason A Crawford |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124148002 PECOS PAC ID: 3274549472 Enrollment ID: I20081122000172 |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |