MEDICARE: GEETA CHOWDHARY OD

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
1	152W00000X	Optometrist	1978	NC

General Provider Information

NPI Number	:	1306828025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEETA CHOWDHARY OD

Provider Business Mailing Address
First Line	:	4351 THE CIRCLE AT NORTH HILLS ST STE 107
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-5751
Country	:	US
Telephone Number	:	919-782-9091
Fax Number	:	919-782-9135

Provider Business Practice Location Address
First Line	:	4351 THE CIRCLE AT NORTH HILLS ST STE 107
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-5751
Country	:	US
Telephone Number	:	919-782-9091
Fax Number	:	919-782-9135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	11/08/2016

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