| Mount Holly Eye Clinic, Od, Pa | |
|
612 S Main St, Mount Holly, NC 28120-1653 | |
| (704) 822-0099 | |
| (704) 822-0077 |
| Full Name | Mount Holly Eye Clinic, Od, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 612 S Main St, Mount Holly, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720261662 | NPI | - | NPPES |
| 890928G | Medicaid | NC | |
| 0928G | Other | NC | BLUE CROSS/BLUE SHIELD |
| 12304 | Other | NC | SPECTERA |
| 4622 | Other | NC | DAVIS VISION |
| OP0469 | Other | NC | EYEMED |
| NC 1387 | Other | NC | VISION BENEFITS OF AMERIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1387 (North Carolina) | Primary |
| Provider Name | Angela M Fox-putnam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992785836 PECOS PAC ID: 9436170503 Enrollment ID: I20051216000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Holly Eye Clinic, Od, Pa 612 S Main St, Mount Holly, NC 28120-1653 Ph: (704) 822-0099 | Mount Holly Eye Clinic, Od, Pa 612 S Main St, Mount Holly, NC 28120-1653 Ph: (704) 822-0099 |
Dr. Michael Darren Emmett, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 132 W Charlotte Ave, Mount Holly, NC 28120 Phone: 704-827-2009 Fax: 704-827-0435 | |
Myeyedr Optometry Of North Carolina, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 612 S Main St, Mount Holly, NC 28120 Phone: 704-822-0099 Fax: 704-822-0077 | |
Michael D Emmett Optometrist Medicare: Not Enrolled in Medicare Practice Location: 132 W Charlotte Ave, Mount Holly, NC 28120 Phone: 704-827-2009 Fax: 704-827-0435 | |
Dr. Angela Marie Fox-putnam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 612 S Main St, Mount Holly, NC 28120 Phone: 704-822-0099 Fax: 704-822-0077 |