Patty, Augusta Reid
Patty, Augusta Reid is an individual health care provider with primary practice located at 2326 S Church St , Burlington NC 27215-5387. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Patty, Augusta Reid can be contacted via phone (336) 513-0073.Contact Information
Primary practice address
2326 S Church St
Burlington NC 27215-5387
Phone: (336) 513-0073
Fax: (336) 513-0204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NC1088 | North Carolina |
Profile Details
| NPI number | 1578516944 |
|---|---|
| LBN Legal business name | Patty, Augusta Reid |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Feb 17th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578516944 | NPPES |
| North Carolina | MEDICAID | 8909696 |
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