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Contact Information

JOEL L PENEGAR OD PA
1207 SKYWAY DR
MONROE, NC28110
 Phone: 704-296-0818
 Fax: 704-225-9115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOEL L PENEGAR OD PA · (Female)

NPI # 1548303845
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2007
Last updated 07/11/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 8909703
  • NC Other 09703 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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