Peterson Optometric Group, PLLC
Optometrist, Corneal and Contact Management in Wilmington, NC. Organization (NPI-2).
NPI number1043661671
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1043661671
- Entity type
- Organization (NPI-2)
- Legal business name
- Peterson Optometric Group, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2016
- Last updated
- Jun 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – | Yes |
Other names
- Family Vision Clinic (Doing Business As)
Practice location
4514 Oleander DrWilmington, NC 28403-5012
Phone 910-392-4414 · Fax 910-392-3153
Mailing address
4514 Oleander DrWilmington, NC 28403-5012
Phone 910-392-4414 · Fax 910-392-3153
Authorized official
Caroline T Peterson
Optometrist
9103924414
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