Organization
HERITAGE EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANIEL YOAKUM III O.D. (OWNER)
(919) 453-1220
Entity
Organization
Contact information
Practice address
3211 ROGERS RD, STE 100, WAKE FOREST, NC 27587
(919) 453-1220
Mailing address
3211 ROGERS RD, STE 100, WAKE FOREST, NC 27587
(919) 453-1220
(919) 453-1221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093KC
—
NC
Enumeration date
10/22/2007
Last updated
01/06/2015
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