Organization
DAVID LAUREN FITZGERALD OD PA
Active
Other names
Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L FITZGERALD OD (PRESIDENT)
(252) 756-4204
Entity
Organization
Contact information
Practice address
1100 W 15TH ST, WASHINGTON, NC 27889-3564
(252) 975-8040
(252) 975-0772
Mailing address
1100 W 15TH ST, WASHINGTON, NC 27889-3564
(252) 975-8040
(252) 975-0772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194W
BCBSNC GROUP NUMBER
NC
05
—
890194W
—
NC
Enumeration date
05/31/2006
Last updated
06/27/2008
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