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NPI Code Detail

MEDICARE: DR. NANCY L MIZE OD

MEDICARE:  DR. NANCY L MIZE  OD
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
1152W00000XOptometrist1196NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11196OTHERNCNC LICENSE NUMBER

General Provider Information

NPI Number : 1215134044
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY L MIZE OD
Provider Business Mailing Address
First Line : 143 W FRANKLIN ST
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-2539
Country : US
Telephone Number : 919-968-3937
Fax Number : 919-932-3290
Provider Business Practice Location Address
First Line : 114 W FRANKLIN ST
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-2516
Country : US
Telephone Number : 919-968-3937
Fax Number : 919-932-3290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 03/07/2023

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Directions to “ DR. NANCY L MIZE OD” Practice Location

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