Pembroke Optometric Clinic Pa in Pembroke - Optometrist
Pembroke Optometric Clinic Pa - NPI 1942284880
Pembroke Optometric Clinic Pa is a Optometrist in Pembroke, North Carolina. Pembroke Optometric Clinic Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Pembroke Optometric Clinic Pa is 1942284880. The last update date is 2008-02-12.
Pembroke Optometric Clinic Pa's current location address is Po Box 2109, Pembroke, North Carolina. You can contact this provider via phone number 9105219744 and fax number 9105211310. The mailing address for Pembroke Optometric Clinic Pa is Po Box 2109, Pembroke, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pembroke Optometric Clinic Pa |
|---|---|
| Address | Po Box 2109, Pembroke, North Carolina |
| Phone Number | 9105219744 |
| Fax Number | 9105211310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Locklear Kaye Sandra |
| Credentials | OD |
| Telephone Number | 9105219744 |
NPI Number Detail
| NPI Number | 1942284880 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | Po Box 2109 |
|---|---|
| City | Pembroke |
| State | North Carolina (NC) |
| Post Code | 283722109 |
| Phone Number | 9105219744 |
| Fax Number | 9105211310 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1318 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8909451 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pembroke Optometric Clinic Pa by the Centers for Medicare & Medicaid Services?
The Pembroke Optometric Clinic Pa has been assigned the NPI (National Provider Identifier) 1942284880. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pembroke Optometric Clinic Pa's physical address?
The Pembroke Optometric Clinic Pa is physically located at Po Box 2109, in the city of Pembroke, NC, with the postal code 283722109.
What is Pembroke Optometric Clinic Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pembroke Optometric Clinic Pa's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Pembroke Optometric Clinic Pa receive the assignment of its 1942284880 from the Centers for Medicare & Medicaid Services?
The Pembroke Optometric Clinic Pa was issued its 1942284880 by the Centers for Medicare & Medicaid Services on 2005-12-05.
As of what date were the Pembroke Optometric Clinic Pa's details last updated?
The information pertaining to the Pembroke Optometric Clinic Pa, including its address, specialty, and other details, was most recently updated on 2008-02-12.
NPI Number: 1336142389
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