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Organization

JENNIFER FISHEL, OD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER R FISHEL O.D. (OPTOMETRIST / OWNER)
(252) 756-6031
Entity
Organization

Contact information

Practice address
2797 CHARLES BLVD, GREENVILLE, NC 27858-5933
(252) 756-6031
(252) 756-9737
Mailing address
2797 CHARLES BLVD, GREENVILLE, NC 27858-5933
(252) 756-6031
(252) 756-9737

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1791
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0111Q
BLUE CROSS GROUP NUMBER
NC
Enumeration date
06/22/2006
Last updated
03/31/2010
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