Organization
SEASHORE EYE ASSOCIATES, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONITA FANELLI DO (OWNER/PROVIDER)
(910) 769-2740
Entity
Organization
Contact information
Practice address
1616 DOCTORS CIR, WILMINGTON, NC 28401-7406
(910) 769-2740
(910) 769-3622
Mailing address
1616 DOCTORS CIR, WILMINGTON, NC 28401-7406
(910) 769-2740
(910) 769-3622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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