Organization
RISK OPTOMETRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT RISK (PRESIDENT)
(910) 868-3910
Entity
Organization
Contact information
Practice address
1550 SKIBO RD, FAYETTEVILLE, NC 28303-3478
(910) 868-3910
Mailing address
216 NORTHSTONE PL, FAYETTEVILLE, NC 28303-5494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1555
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0233L
BCBS OF NC
NC
05
—
890233L
—
NC
Enumeration date
01/27/2006
Last updated
08/22/2020
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