Individual
DR. MICHELLE LYNN BEACHKOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7808 S TRYON ST STE D&E, CHARLOTTE, NC 28273-4155
(704) 522-8000
(833) 231-6851
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2436
NC
152W00000X
Optometrist
OEG001700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCU591A
MEDICARE
NC
Enumeration date
07/19/2006
Last updated
10/04/2023
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