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NPI Code Detail

MEDICARE: DR. DAVID AU O.D.

MEDICARE:  DR. DAVID  AU  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
1152W00000XOptometrist2374NC

General Provider Information

NPI Number : 1477954238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID AU O.D.
Provider Business Mailing Address
First Line : 8814 RACHEL FREEMAN WAY STE 102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-9510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8814 RACHEL FREEMAN WAY STE 102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-9510
Country : US
Telephone Number : 704-733-9180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 07/28/2020

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Directions to “ DR. DAVID AU O.D.” Practice Location

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