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WILLIAM M COSTNER

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1437271251

Individual Registrant:
 WILLIAM M COSTNER 
Gender: M
Sole Proprietor

Location and contact information for practice:
127 W PENNSYLVANIA AVE  BESSEMER CITY, NC 28016 US
Tel: 704-629-3223  Fax: 704-629-3223

Contact information for business:
PO BOX 425  BESSEMER CITY, NC 28016 US
Tel: 704-629-3223  Fax: 704-629-3223

Registration Information:
NPI: 1437271251
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
NC0763

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NC HEALTH CHOICE09186NC01
8909186NC05
RAILROAD PIN NUMBER MEDICP00154610NC01




HEALTH CARE JOBS NC - Page 1



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