Individual
DR. DOYLE S BEDSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 SAWMILL RD, RALEIGH, NC 27615-6148
(919) 847-0051
(919) 846-9003
Mailing address
101 SAWMILL RD, RALEIGH, NC 27615-6148
(919) 847-0051
(919) 846-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164592523
NPI
NC
01
—
1831258912
GROUP NPI
NC
01
—
2348490
GROUP PTAN
NC
01
—
2466989A
PTAN
NC
Enumeration date
11/09/2006
Last updated
11/07/2012
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