Individual
DR. PETER WRIGHT HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609-7445
(919) 876-2427
(919) 850-9234
Mailing address
PO BOX 477, MORRISVILLE, NC 27560-0477
(252) 908-1397
(919) 944-0085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09414
BCBS PROV #
NC
05
—
8909414
—
NC
Enumeration date
08/01/2005
Last updated
09/04/2015
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