NANCY M. MACKOWSKY OD PA NPI 1932430121

NPI Information

NPI: 1932430121
Provider Name: NANCY M. MACKOWSKY, OD, PA
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
4201 LAKE BOONE TRL
SUITE 104
RALEIGH, NC
ZIP 27607
Phone: (919) 944-0195
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NANCY M. MACKOWSKY, OD, PA is a rehabilitation clinic center in Raleigh, NC. NANCY M. MACKOWSKY, OD, PA NPI is 1932430121. The provider is registered as an organization entity type.

The provider's business location address is:

4201 LAKE BOONE TRL
SUITE 104
RALEIGH, NC
ZIP 27607-512
Phone: (919) 944-0195
Fax: (919) 944-0085

The provider's authorized official is Nancy M Mackowsky .
The authorized official title is Doctor Of Optometry and has the following contact phone number (919) 944-0195.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 1/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	1571	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2469711D	MEDICARE PIN	NORTH CAROLINA
2	890936C	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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