Organization
JODY DALE PAPAZEKOS OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY DALE PAPAZEKOS O. D. (OWNER, PHYSICAN)
(828) 322-3154
Entity
Organization
Contact information
Practice address
27 13TH AVE NE, HICKORY, NC 28601-3766
(828) 322-3154
(828) 322-3154
Mailing address
27 13TH AVE NE, HICKORY, NC 28601-3766
(828) 322-3154
(828) 322-3154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0917M
BCBS PROVIDER #
NC
01
—
119986000
DMERC PROVIDER NUMBER
NC
05
—
890917M
—
NC
Enumeration date
01/17/2007
Last updated
10/22/2013
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