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Organization

PETERSON OPTOMETRIC GROUP, PLLC

Active
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Organization

PETERSON OPTOMETRIC GROUP, PLLC

Active
Other names
Family Vision Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLINE T PETERSON OD (OPTOMETRIST)
(910) 392-4414
Entity
Organization

Contact information

Practice address
4514 OLEANDER DR, WILMINGTON, NC 28403-5012
(910) 392-4414
(910) 392-3153
Mailing address
4514 OLEANDER DR, WILMINGTON, NC 28403-5012
(910) 392-4414
(910) 392-3153

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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