MEDICARE: INSIGHT OPTOMETRIC SERVICES

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1386300127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT OPTOMETRIC SERVICES

Provider Business Mailing Address
First Line	:	300 CAMPEN RD STE A
Second Line	:
City	:	BEAUFORT
State	:	NC
Zip	:	28516-1500
Country	:	US
Telephone Number	:	252-838-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	4252 ARENDELL ST STE G
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-0015
Country	:	US
Telephone Number	:	252-838-8822
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	PATRICK AUSTIN PATTERSON
Credential	:	OD
Telephone Number	:	252-838-8822

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	11/16/2021

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