Joel L Penegar Od Pa

LBN: Joel L Penegar Od Pa
Joel L Penegar Od Pa is an health care organization with primary practice located at 1207 Skyway Dr , Monroe NC 28110. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Joel L Penegar Od Pa can be contacted via phone (704) 296-0818, or through Penegar, Joel L via phone (704) 296-0818.

Contact Information

Primary practice address
1207 Skyway Dr Monroe NC 28110
Phone: (704) 296-0818
Fax: (704) 225-9115
Website:
Map and Directions
Authorized official contact:
Name: Penegar, Joel L Doctor of Optometry (OD)
Phone: (704) 296-0818

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1548303845
LBN Legal business name Joel L Penegar Od Pa
DBA Doing business as
Authorized official Penegar, Joel L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 11th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548303845 NPPES
North Carolina Other 09703 BLUE CROSS
North Carolina MEDICAID 8909703 BLUE CROSS

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