# KNIGHTDALE EYECARE OPTOMETRIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255491528
- **Authorized official:** DR. TIMOTHY JOHN POIRIER O.D. (OWNER)
- **Authorized official phone:** (919) 266-2048

## Contact information

- **Practice address:** 742 MCKNIGHT DR, SUITE 100, KNIGHTDALE, NC 27545-7764
- **Practice address phone:** (919) 266-2048
- **Practice address fax:** (919) 266-4648
- **Mailing address:** 742 MCKNIGHT DR, SUITE 100, KNIGHTDALE, NC 27545-7764
- **Mailing address phone:** (919) 266-2048
- **Mailing address fax:** (919) 266-4648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 1646 | NC | Yes |

## Other

- **Enumeration date:** 12/09/2006
- **Last updated:** 07/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 410034712 | RAILROAD MEDICARE | NC |