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Cary Optometric, PA

Optometrist in Cary, NC. Organization (NPI-2).

NPI number1710157623
StatusActive
Last updated in NPPESSep 20, 2013

Details

NPI
1710157623
Entity type
Organization (NPI-2)
Legal business name
Cary Optometric, PA
Organization subpart
No
Enumeration date
Mar 6, 2008
Last updated
Sep 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1183NCYes

Practice location

160 Ne Maynard Rd
Suite 110
Cary, NC 27513

Phone 919-439-7995 · Fax 919-415-0422

Mailing address

160 Ne Maynard Rd
Suite 110
Cary, NC 27513

Phone 919-439-7995 · Fax 919-415-0422

Authorized official

Marcia Dettloff
President
9194397995

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