Organization
KNIGHTDALE EYECARE OPTOMETRIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOHN POIRIER O.D. (OWNER)
(919) 266-2048
Entity
Organization
Contact information
Practice address
742 MCKNIGHT DR, SUITE 100, KNIGHTDALE, NC 27545-7764
(919) 266-2048
(919) 266-4648
Mailing address
742 MCKNIGHT DR, SUITE 100, KNIGHTDALE, NC 27545-7764
(919) 266-2048
(919) 266-4648
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410034712
RAILROAD MEDICARE
NC
Enumeration date
12/09/2006
Last updated
07/15/2009
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