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Brier Creek Vision Care, PA

Clinic/Center in Raleigh, NC. Organization (NPI-2).

NPI number1881925378
StatusActive
Last updated in NPPESDec 20, 2022

Details

NPI
1881925378
Entity type
Organization (NPI-2)
Legal business name
Brier Creek Vision Care, PA
Organization subpart
No
Enumeration date
Jan 22, 2010
Certification date
Dec 20, 2022
Last updated
Dec 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center1335NCYes

Practice location

9650 Brier Creek Pkwy Ste 107
Raleigh, NC 27617-6504

Phone 919-361-2299 · Fax 919-361-0055

Mailing address

9650 Brier Creek Pkwy Ste 107
Raleigh, NC 27617-6504

Phone 919-361-2299 · Fax 919-361-0055

Authorized official

Susan Licata Durham
President
9193612299

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