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NPI Code Detail

MEDICARE: AUSTIN VILLAGE EYECARE OD PA

MEDICARE: AUSTIN VILLAGE EYECARE OD 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
1152W00000XOptometrist1843NC

General Provider Information

NPI Number : 1629266820
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUSTIN VILLAGE EYECARE OD PA
Provider Business Mailing Address
First Line : 1013 CHESTNUT LN
Second Line : SUITE 210
City : MATTHEWS
State : NC
Zip : 28104-8531
Country : US
Telephone Number : 704-821-5009
Fax Number : 704-821-1591
Provider Business Practice Location Address
First Line : 1013 CHESTNUT LN
Second Line : SUITE 210
City : MATTHEWS
State : NC
Zip : 28104-8531
Country : US
Telephone Number : 704-821-5009
Fax Number : 866-334-0626
Authorized Official
Title or Position : PRESIDENT
Name : DR. KESHAV BHAT
Credential : O.D
Telephone Number : 704-821-5009
Provider Enumeration Date : 10/12/2007
Last Update Date : 09/27/2013

Similar Medicare Providers

1336134485 — DR. KESHAV BHAT O.D.
Practice Location Address:
1013 CHESTNUT LN , SUITE 210
MATTHEWS, NC
28104-8531
Practice Phone: 704-821-5009
Practice Fax: 866-334-0626
1699957381 — WALGREEN CO
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1104783869 — DOMINIQUE FOSTER LCASA
Practice Location Address:
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28104-6117
Practice Phone: 954-240-0505
Practice Fax:
1891652293 — HEALING GRIEF CENTER
Practice Location Address:
6006 BURNT MILL RUN
MATTHEWS, NC
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Practice Phone: 704-242-0399
Practice Fax:
1760802045 — MISHAL T BHATT M.D.
Practice Location Address:
2935 MATTHEWS WEDDINGTON RD
MATTHEWS, NC
28104-7996
Practice Phone: 704-500-0535
Practice Fax: 704-464-4133
1407848070 — MR. THOMAS J MORGAN MS, LAT,ATC,PES,EMT
Practice Location Address:
1013 CHESTNUT LN STE 120
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28104
Practice Phone: 704-893-5487
Practice Fax: 704-973-0696

Directions to “AUSTIN VILLAGE EYECARE OD PA ” Practice Location

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