Individual
GEORGE JOHN KUCHENREUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8311 BANDFORD WAY, SUITE 105, RALEIGH, NC 27615-2756
(919) 870-1880
(919) 847-4509
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410033568
RAILROAD MEDICARE
NC
Enumeration date
01/26/2006
Last updated
11/13/2017
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