Organization
VISION PARK OPTOMETRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN GROOMER MOORE O.D. (OPTOMETRIST/ CORPORATE PRESIDENT)
(919) 870-1880
Entity
Organization
Contact information
Practice address
8311 BANDFORD WAY, SUITE 105, RALEIGH, NC 27615-2756
(919) 870-1880
(919) 847-4509
Mailing address
8311 BANDFORD WAY, SUITE 105, RALEIGH, NC 27615-2756
(919) 870-1880
(919) 847-4509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410033568
RAILROAD MEDICARE
NC
Enumeration date
09/15/2006
Last updated
04/30/2008
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