Organization
OPTOMETRIC EYE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY LYNN WIKE O.D. (OPTOMETRIST)
(704) 664-5406
Entity
Organization
Contact information
Practice address
622 N MAIN ST, MOORESVILLE, NC 28115-2312
(704) 664-5406
(704) 663-6498
Mailing address
622 N MAIN ST, MOORESVILLE, NC 28115-2312
(704) 664-5406
(704) 663-6498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1130
NC
Other
Enumeration date
01/11/2011
Last updated
09/30/2024
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