Optometric Eye Care Center Of Durham Pa

NPI 1205819547 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1205819547
Enumeration Date 11/21/2005
Last Updated 03/08/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KEITH R KEITH
Position DOCTOR OF OPTOMETRIC OWNER
Phone (919) 286-7732
Fax (919) 286-3451
Practice Location
1058 W CLUB BLVD
DURHAM NC, 27701-1115, US
Phone (919) 286-7732
Fax (919) 286-3451
Business Location
1058 W CLUB BLVD
DURHAM NC, 27701-1104, US
Phone (919) 286-7732
Fax (919) 286-3451
Toxanomy
Taxonomy Code 156FX1800X
License State
License Number
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According to our database, Optometric Eye Care Center Of Durham Pa NPI is 1205819547, taxonomy code is 156FX1800X Optometric Eye Care Center Of Durham Pa physically located at 1058 W Club Blvd, Durham NC, 27701-1115. NPI Number 1033115704 has the healthcare provider type.

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1205819547 NPI number is provided on an as is basis without warranty of any kind. 1205819547 is maintained by the National Plan & Provider Enumeration System. The contents of Optometric Eye Care Center Of Durham Pa are for informational purposes only.