Austin Village Eyecare Od PA

NPI #1629266820 in Matthews, North Carolina

Provider Information

NPI Number: 1629266820
Entity Type: Organization
Organization Name: Austin Village Eyecare Od PA
Primary Specialty: Optometrist
Enumeration Date: Oct 12, 2007
Last Updated: Sep 27, 2013

Practice Location

Address: 1013 CHESTNUT LN
Address 2: SUITE 210
City: Matthews
State: North Carolina
ZIP Code: 28104-8531
Phone: (704) 821-5009

Authorized Official

Name: DR. KESHAV BHAT, O.D
Title: PRESIDENT
Phone: (704) 821-5009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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