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Organization

FAMILY EYE CARE GROUP INC

Active
Other names
Patty Vision Center, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL MARINO O.D. (OPTOMETRIST)
(336) 227-2777
Entity
Organization

Contact information

Practice address
124 W CRESCENT SQUARE DR, GRAHAM, NC 27253-4014
(336) 227-2777
(336) 227-9499
Mailing address
124 W CRESCENT SQUARE DR, GRAHAM, NC 27253-4014
(336) 227-2777
(336) 227-9499

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1716
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5900546
NC
Enumeration date
01/10/2007
Last updated
04/30/2009
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