Individual
DR. EILEEN M WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
116 REGENCY BLVD, GREENVILLE, NC 27834-4644
(252) 754-2020
(252) 493-0100
Mailing address
3740 S MEMORIAL DR, SUITE A, GREENVILLE, NC 27834-6700
(252) 754-2020
(252) 493-0100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0915F
BCBS OF NC
NC
01
—
562118060
TRICARE PIN
NC
01
—
85921
MEDCOST PIN
NC
05
—
890915F
—
NC
Enumeration date
05/18/2006
Last updated
10/12/2023
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