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NPI Code Detail

MEDICARE: RICHARD H. MACKOWSWKY, O.D., P.A.

MEDICARE: RICHARD H. MACKOWSWKY, O.D., P.A.
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1851560650
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD H. MACKOWSWKY, O.D., P.A.
Provider Business Mailing Address
First Line : 100 CUVASION CT
Second Line :
City : CARY
State : NC
Zip : 27519-6200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5450 NEW HOPE COMMONS DR
Second Line :
City : DURHAM
State : NC
Zip : 27707-9716
Country : US
Telephone Number : 919-489-4653
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD HENRY MACKOWSKY
Credential : O.D.
Telephone Number : 919-489-4653
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/26/2008

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