Organization
NORTH RALEIGH OPHTHALMOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC WILLIAM PORTER M.D. (PRESIDENT)
(919) 876-4064
Entity
Organization
Contact information
Practice address
5962 SIX FORKS RD, RALEIGH, NC 27609-3895
(919) 876-4064
(919) 876-3159
Mailing address
5962 SIX FORKS RD, RALEIGH, NC 27609-3895
(919) 876-4064
(919) 876-3159
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15971
NC
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012P3
—
NC
Enumeration date
01/02/2007
Last updated
08/23/2022
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