Individual
NISHA PANJWANI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2531 E LYON STATION RD, SUITE F, CREEDMOOR, NC 27522-9401
(919) 734-2273
Mailing address
2531 E LYON STATION RD, SUITE F, CREEDMOOR, NC 27522-9401
(919) 734-2273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093W8
BCBS
NC
05
—
5908326
—
NC
Enumeration date
10/01/2007
Last updated
08/03/2016
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