Organization
AUSTIN VILLAGE EYECARE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHAV BHAT O.D (PRESIDENT)
(704) 821-5009
Entity
Organization
Contact information
Practice address
1013 CHESTNUT LN, SUITE 210, MATTHEWS, NC 28104-8531
(704) 821-5009
(866) 334-0626
Mailing address
1013 CHESTNUT LN, SUITE 210, MATTHEWS, NC 28104-8531
(704) 821-5009
(704) 821-1591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1843
NC
Other
Enumeration date
10/12/2007
Last updated
09/27/2013
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