Organization
AHOSKIE EYE CARE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD E HAUSER O. D. (PRESIDENT)
(252) 332-2020
Entity
Organization
Contact information
Practice address
500 CHURCH ST W, AHOSKIE, NC 27910-3316
(252) 332-2020
(252) 332-8543
Mailing address
500 CHURCH ST W, AHOSKIE, NC 27910-3316
(252) 332-2020
(252) 332-8543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905E
NC HEALTH CHOICE
NC
01
—
45371
SPECTERA
NC
05
—
5911883
—
NC
05
—
5950660
—
NC
05
—
8802140
—
NC
01
—
NC1332
EYE MED
NC
Enumeration date
02/05/2008
Last updated
01/18/2010
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