Organization
WILMINGTON OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WEAVER OD (OWNER)
(910) 791-6086
Entity
Organization
Contact information
Practice address
1205 FLORAL PKWY, WILMINGTON, NC 28403-6216
(910) 791-6086
(910) 392-8087
Mailing address
1205 FLORAL PKWY, WILMINGTON, NC 28403-6216
(910) 791-6086
(910) 392-8087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1234
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909965
—
NC
Enumeration date
02/08/2007
Last updated
02/26/2008
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