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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

NPI Number 1548303845
LBN Legal business name JOEL L PENEGAR OD PA
Authorized official JOEL PENEGAR - (OPTOMETRIST PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 07/11/2014 - About 12 years ago
Identifiers
NC Medicaid 8909703
NC Other 09703 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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