Organization
FIRST IN SIGHT OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MICHAEL SULT O.D. (MANAGER)
(919) 845-5555
Entity
Organization
Contact information
Practice address
9660 FALLS OF NEUSE RD, SUITE 142, RALEIGH, NC 27615-2473
(919) 845-5555
Mailing address
9660 FALLS OF NEUSE RD, SUITE 142, RALEIGH, NC 27615-2473
(919) 845-5555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09885
BCBS
NC
Enumeration date
08/27/2007
Last updated
08/27/2007
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