Organization · NPI-2

Cape Fear Eye Associates PA

Ophthalmology · Fayetteville, NC

NPI number1962456343

StatusActive

Last updated in NPPESApr 25, 2012

Details

NPI: 1962456343
Entity type: Organization (NPI-2)
Legal business name: Cape Fear Eye Associates PA
Organization subpart: No
Enumeration date: May 20, 2006
Last updated: Apr 25, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	–	–	Yes
152W00000X	Optometrist	–	–
152WP0200X	Optometrist, Pediatrics	–	–

Practice location

1726 Metro Medical Dr
Fayetteville, NC 28304-3861

Phone 910-484-2284 · Fax 910-484-0458

Mailing address

1726 Metro Medical Dr
Fayetteville, NC 28304-3861

Phone 910-484-2284 · Fax 910-484-0458

Authorized official

Pamela A Madison
Credentialing Manager
9104842284

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