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NPI Code Detail

MEDICARE: DR. CHRISTY MARIE SLAGLE O.D.

MEDICARE: DR. CHRISTY MARIE SLAGLE 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
1152WV0400XVision Therapy OptometristTA1762MD
2152WV0400XVision Therapy Optometrist13-0001275DE

General Provider Information

NPI Number : 1528184058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTY MARIE SLAGLE O.D.
Provider Business Mailing Address
First Line : 131 BECKS WOODS DRIVE
Second Line :
City : BEAR
State : DE
Zip : 19701-3833
Country : US
Telephone Number : 302-303-7740
Fax Number : 302-595-3142
Provider Business Practice Location Address
First Line : 131 BECKS WOODS DRIVE
Second Line :
City : BEAR
State : DE
Zip : 19701-3833
Country : US
Telephone Number : 302-303-7740
Fax Number : 302-595-3142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 05/18/2021

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