Individual
DR. PERRY J. CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5351 GINGERWOOD DR, WILMINGTON, NC 28405
(910) 392-5707
Mailing address
7402 ALESTONE DR, WILMINGTON, NC 28411-9679
(910) 681-0958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1898
OPTOMETRIC LICENSE - NC
NC
Enumeration date
07/25/2006
Last updated
07/08/2007
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