Individual
DR. EMILY SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
275 E KING ST STE 1, BOONE, NC 28607-5504
(636) 200-4393
Mailing address
PO BOX 207261, DALLAS, TX 75320-7261
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2673
NC
152W00000X
Optometrist
3635-35
WI
152W00000X
Optometrist
MS6739087
NC
Other
Enumeration date
07/30/2020
Last updated
12/13/2021
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