Organization
PRO VISION OPTOMETRIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA PESTEANU O.D. (OWNER)
(252) 519-9401
Entity
Organization
Contact information
Practice address
12 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648
(252) 519-9401
(252) 519-9404
Mailing address
12 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648
(252) 519-9401
(252) 519-9404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1506
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890243L
—
NC
05
—
890928E
—
NC
Enumeration date
03/13/2007
Last updated
01/14/2009
Update your record
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