Triangle Eye Care, Od, PA
Optometrist in Raleigh, NC. Organization (NPI-2).
NPI number1861692089
StatusActive
Last updated in NPPESMay 5, 2010
Details
- NPI
- 1861692089
- Entity type
- Organization (NPI-2)
- Legal business name
- Triangle Eye Care, Od, PA
- Organization subpart
- No
- Enumeration date
- Jul 25, 2007
- Last updated
- May 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1956 | NC | Yes |
Practice location
6021 Poyner Village PkwySuite 115
Raleigh, NC 27616-3397
Phone 919-556-8595
Mailing address
Po Box 1215Wake Forest, NC 27588-1215
Phone 919-556-8595
Authorized official
Glenn A Klaus
President
9195540860
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