MEDICARE: SCHONHOFEN OPTOMETRY PA

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	1001	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0981K	OTHER	NC	BCBS
2	107556	OTHER		TRIGON BCBS MEDIGAP
3	180004950	OTHER	NC	RAILROAD PROVIDER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407814122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHONHOFEN OPTOMETRY PA

Provider Business Mailing Address
First Line	:	346 N BRIDGE STREET
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-3407
Country	:	US
Telephone Number	:	336-835-1312
Fax Number	:	336-835-9911

Provider Business Practice Location Address
First Line	:	346 N BRIDGE STREET
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-3407
Country	:	US
Telephone Number	:	336-835-1312
Fax Number	:	336-835-9911

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JANET LEE PERKINS
Credential	:	O.D.
Telephone Number	:	336-835-1312

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	06/29/2010

Similar Medicare Providers

1851396782 — JANET LEE PERKINS O.D.
Practice Location Address:

346 N BRIDGE ST
ELKIN, NC
28621-3407

Practice Phone: 336-835-1312
Practice Fax: 336-835-9911

1598713224 — DR. LAWRENCE D. SCHONHOFEN O.D.
Practice Location Address:

346 N BRIDGE ST
ELKIN, NC
28621-3407

Practice Phone: 336-835-1312
Practice Fax:

1699116723 — KALA BROWN BREWER O.D.
Practice Location Address:

346 N BRIDGE ST
ELKIN, NC
28621-3407

Practice Phone: 336-835-1312
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1477333763 — KELLIE MARIE AGALSOFF PA-C
Practice Location Address:

310 N BRIDGE ST
ELKIN, NC
28621-3407

Practice Phone: 256-617-1354
Practice Fax:

1326118589 — MRS. SHANNON LEIGH CULLER MSN, FNP-BC
Practice Location Address:

469 CC CAMP RD
ELKIN, NC
28621-8833

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Practice Fax:

1932526878 — JAMES O'HARE MD
Practice Location Address:

180 PARKWOOD DR
ELKIN, NC
28621-2430

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Practice Fax:

Directions to “SCHONHOFEN OPTOMETRY PA ” Practice Location

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