Organization
PRESTON OPTOMETRY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALAN ROUSSELO O.D. (OWNER)
(919) 467-4657
Entity
Organization
Contact information
Practice address
258 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 467-4657
(919) 462-0199
Mailing address
258 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 467-4657
(919) 462-0199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1466
NC
Other
Enumeration date
02/19/2010
Last updated
03/15/2016
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