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NPI Code Detail

MEDICARE: DR. JAMES N CONARD O.D.

MEDICARE:  DR. JAMES N CONARD  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
1152W00000XOptometrist0618001886VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111727863OTHERSCCAQH

General Provider Information

NPI Number : 1073602199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES N CONARD O.D.
Provider Business Mailing Address
First Line : 1023 LEGENDS CLUB DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-9057
Country : US
Telephone Number : 757-304-0535
Fax Number :
Provider Business Practice Location Address
First Line : 1023 LEGENDS CLUB DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-9057
Country : US
Telephone Number : 757-304-0535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 02/14/2016

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Directions to “ DR. JAMES N CONARD O.D.” Practice Location

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