Organization
PROFESSIONAL EYE CARE OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENID ROSARIO-MCCULLOUGH (CREDENTIALING)
(910) 423-0700
Entity
Organization
Contact information
Practice address
432 W BROAD ST, ELIZABETHTOWN, NC 28337
(910) 991-3003
(910) 991-3057
Mailing address
3701 S MAIN ST, HOPE MILLS, NC 28348-1958
(910) 423-0700
(910) 423-0974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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