Organization
OPTOMETRIC EYE CARE CENTER OF DURHAM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R HOFFMAN OD (DOCTOR OF OPTOMETRIC OWNER)
(919) 286-7732
Entity
Organization
Contact information
Practice address
1058 W CLUB BLVD, DURHAM, NC 27701-1115
(919) 286-7732
(919) 286-3451
Mailing address
1058 W CLUB BLVD, DURHAM, NC 27701-1104
(919) 286-7732
(919) 286-3451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013EV
BCBS
NC
Enumeration date
11/21/2005
Last updated
03/08/2012
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