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NPI Code Detail

MEDICARE: DR. AMY SHEINBEIN CHARLES O.D.

MEDICARE: DR. AMY SHEINBEIN CHARLES 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
1152W00000XOptometrist2354GA

General Provider Information

NPI Number : 1578541835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY SHEINBEIN CHARLES O.D.
Provider Business Mailing Address
First Line : 1380 ATLANTIC DR NW STE 14150
Second Line :
City : ATLANTA
State : GA
Zip : 30363-1145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1380 ATLANTIC DR NW STE 14150
Second Line :
City : ATLANTA
State : GA
Zip : 30363-1145
Country : US
Telephone Number : 404-593-2926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 01/09/2018

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