Organization
RALEIGH EYE CENTER, PA
Active
Parent organization
RALEIGH EYE CENTER, PA
Other names
Raleigh Eye Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH EYE CENTER, PA
Authorized official
LESLIE R ARNOLD (BUSINESS MANAGER)
(919) 876-2427
Entity
Organization
Contact information
Practice address
129 E FERRELL ST, SOUTH HILL, VA 23970-2101
(464) 447-3220
Mailing address
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609-7445
(919) 876-2427
(919) 790-8423
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902857675
PRIMARY NPI
NC
Enumeration date
04/11/2014
Last updated
03/10/2015
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