Eric Clark Dudley O.D.

NPI 1033138599 - Optometrist - 152W00000X

NPI Details
NPI 1033138599
Gender Male
Enumeration Date 07/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8701 JW CLAY BLVD
CHARLOTTE NC, 28262-5417, US
Phone (704) 510-0816
Fax (704) 510-0919
Business Location
3515 SELWYN AVE
CHARLOTTE NC, 28209-3501, US
Phone (704) 521-2719
Fax (704) 510-0919
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 152W00000X
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According to our database, Dr. Eric Clark Dudley O.D. NPI is 1033138599, taxonomy code is 152W00000X and license number is 152W00000X, license state is located at North Carolina. Eric Clark Dudley O.D. physically located at 8701 Jw Clay Blvd, Charlotte NC, 28262-5417. NPI Number Eric Clark Dudley O.D. has the Individual type.

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1033138599 NPI number is provided on an as is basis without warranty of any kind. 1033138599 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Clark Dudley O.D. are for informational purposes only.