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NPI Code Detail

MEDICARE: DR. JOHN FREDERICK DARKUS O.D.

MEDICARE:  DR. JOHN FREDERICK DARKUS  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist907NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164402574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN FREDERICK DARKUS O.D.
Provider Business Mailing Address
First Line : PO BOX 787
Second Line :
City : BURGAW
State : NC
Zip : 28425-0787
Country : US
Telephone Number : 910-259-5661
Fax Number : 910-259-5661
Provider Business Practice Location Address
First Line : 106 E SATCHWELL ST
Second Line :
City : BURGAW
State : NC
Zip : 28425-5064
Country : US
Telephone Number : 910-259-5661
Fax Number : 910-259-5661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN FREDERICK DARKUS O.D.” Practice Location

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