MEDICARE: DR. ALESSANDRO IANNACCONE MD

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
1	207W00000X	Ophthalmology Physician	2016-02072	NC

General Provider Information

NPI Number	:	1306802434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALESSANDRO IANNACCONE MD

Provider Business Mailing Address
First Line	:	5221 PARAMOUNT PKWY STE 420
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5491
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2226 NELSON HWY STE 200
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-9638
Country	:	US
Telephone Number	:	984-974-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	05/14/2024

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