Spencer, Michael Antonio

Spencer, Michael Antonio is an individual health care provider with primary practice located at 719 Green Valley Rd Koala Eye Centre Ste 303, Greensboro NC 27408-7014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Spencer, Michael Antonio can be contacted via phone (336) 378-2511.

Contact Information

Primary practice address
719 Green Valley Rd Koala Eye Centre Ste 303 Greensboro NC 27408-7014
Phone: (336) 378-2511
Fax: (336) 378-1186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200100470 North Carolina

Profile Details

NPI number 1922065689
LBN Legal business name Spencer, Michael Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 24th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922065689 NPPES
North Carolina MEDICAID 8913132
North Carolina Other 010678177

Popular Providers