Individual
DR. ERIC R FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2160 MIDLAND RD, SUITE B, SOUTHERN PINES, NC 28387-2927
(910) 295-3220
(910) 295-0507
Mailing address
2160 MIDLAND RD, SUITE B, SOUTHERN PINES, NC 28387-2927
(910) 295-3220
(910) 295-0507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0292120001
DMERC
NC
01
—
0929E
BCBS PROVIDER #
NC
05
—
890929E
—
NC
Enumeration date
05/13/2006
Last updated
11/16/2007
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