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NPI Code Detail

MEDICARE: DR. REY GARRIDO O.D.

MEDICARE:  DR. REY  GARRIDO  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
1152W00000XOptometrist1600NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
219302OTHERNCPARTNERS MEDICARE CHOICE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10936FOTHERNCBLUE CROSS OF NC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
466159OTHERNCMEDCOST

General Provider Information

NPI Number : 1255324034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REY GARRIDO O.D.
Provider Business Mailing Address
First Line : 2325 ABERDEEN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-0614
Country : US
Telephone Number : 704-853-3937
Fax Number : 704-853-8029
Provider Business Practice Location Address
First Line : 2325 ABERDEEN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-0614
Country : US
Telephone Number : 704-853-3937
Fax Number : 704-853-8029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 03/12/2008

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Directions to “ DR. REY GARRIDO O.D.” Practice Location

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