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Individual

DR. JODY DALE PAPAZEKOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
19 S CENTER ST, TAYLORSVILLE, NC 28681-2500
(828) 632-4566
(828) 352-9511
Mailing address
PO BOX 231, TAYLORSVILLE, NC 28681-0231
(828) 632-4566
(828) 352-9511

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1670
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001971501
UNITED HEALTHCARE ID
NC
01
0917M
BCBS PROVIDER NUMBER
NC
01
119986000
DMERC PROVIDER NUMBER
NC
05
890917M
NC
01
Y-1947
DIV SERV FOR THE BLIND ID
NC
Enumeration date
09/20/2006
Last updated
09/23/2022
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