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NPI Code Detail

MEDICARE: CHAPEL HILL OPHTHALMOLOGY CLINIC, P.A.

MEDICARE: CHAPEL HILL OPHTHALMOLOGY CLINIC, P.A.
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
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538147087
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAPEL HILL OPHTHALMOLOGY CLINIC, P.A.
Provider Business Mailing Address
First Line : 110 CONNER DR
Second Line : SUITE 2
City : CHAPEL HILL
State : NC
Zip : 27514-7044
Country : US
Telephone Number : 919-942-8701
Fax Number : 919-942-3601
Provider Business Practice Location Address
First Line : 110 CONNER DR
Second Line : SUITE 2
City : CHAPEL HILL
State : NC
Zip : 27514-7044
Country : US
Telephone Number : 919-942-8701
Fax Number : 919-942-3601
Authorized Official
Title or Position : PRESIDENT CORPORATION
Name : DR. ROBERT V HALE
Credential : MD
Telephone Number : 919-942-8701
Provider Enumeration Date : 01/05/2006
Last Update Date : 03/05/2008

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