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NPI Code Detail

MEDICARE: DONALD ROBIN MACQUEEN O.D.

MEDICARE: DONALD ROBIN MACQUEEN 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
1152W00000XOptometrist1311SC
2152W00000XOptometristS-636AL
3152W00000XOptometrist1262NC

General Provider Information

NPI Number : 1740330539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD ROBIN MACQUEEN O.D.
Provider Business Mailing Address
First Line : 123 KESTER DR
Second Line :
City : CHERRYVILLE
State : NC
Zip : 28021-9317
Country : US
Telephone Number : 704-487-7708
Fax Number :
Provider Business Practice Location Address
First Line : 5960 FAIRVIEW RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-0202
Country : US
Telephone Number : 888-964-6681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 12/15/2021

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