Individual provider · NPI-1

George Triantafilos Katsoudas, OD

Optometrist · Burlington, NC

NPI number1447212618
StatusActive
Last updated in NPPESJul 19, 2023

Details

NPI
1447212618
Entity type
Individual (NPI-1)
Name
George Triantafilos Katsoudas
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 4, 2006
Certification date
Jul 19, 2023
Last updated
Jul 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1763NCYes

Practice location

1016 Kirkpatrick Road
Burlington, NC 27215-9714

Phone 336-228-0254 · Fax 336-584-0101

Mailing address

1016 Kirkpatrick Road
Burlington, NC 27215-9714

Phone 336-228-0254 · Fax 336-584-0101

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