Organization
EYE CARE OF EDENTON, O.D., PLLC
Active
Other names
Eye Care of Edenton
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P BENKUSKY O. D. (OWNER)
(252) 482-3218
Entity
Organization
Contact information
Practice address
111 VIRGINIA RD, EDENTON, NC 27932-1446
(252) 482-3218
(252) 482-8444
Mailing address
111 VIRGINIA RD, EDENTON, NC 27932-1446
(252) 482-3218
(252) 482-8444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890929N
—
NC
Enumeration date
04/25/2007
Last updated
05/13/2013
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