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NORTHWEST EYE SURGERY CENTER PA NPI 1730353996


NPI Information

NPI: 1730353996
Provider Name: NORTHWEST EYE SURGERY CENTER PA
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1015 WORTH ST
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 789-3937
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NORTHWEST EYE SURGERY CENTER PA is a customized equipment durable medical equipment medical supplies in Mount Airy, NC. NORTHWEST EYE SURGERY CENTER PA NPI is 1730353996. The provider is registered as an organization entity type.

The provider's business location address is:

1015 WORTH ST
MOUNT AIRY, NC
ZIP 27030-452
Phone: (336) 789-3937
Fax: (336) 786-9857

The provider's authorized official is Richard J Preske .
The authorized official title is Owner and has the following contact phone number (336) 789-3937.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment28890NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10281350001MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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