Organization
RETINA INSTITUTE OF NORTH CAROLINA, PC
Active
Organization
RETINA INSTITUTE OF NORTH CAROLINA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA FOGEL MD (OWNER)
(919) 787-8555
Entity
Organization
Contact information
Practice address
3211 ROGERS RD, STE 101, WAKE FOREST, NC 27587-3890
(919) 453-1462
(919) 453-1473
Mailing address
2605 BLUE RIDGE RD, STE 220, RALEIGH, NC 27607-6475
(919) 787-8555
(919) 787-8112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2006-00726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903995
—
NC
Enumeration date
12/15/2009
Last updated
12/15/2009
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