Organization
WOLDORFF FAMILY OPTOMETRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE LANSING WOLDORFF OD (PRESIDENT)
(919) 270-9284
Entity
Organization
Contact information
Practice address
813 BROAD ST, DURHAM, NC 27705-4137
(919) 381-5365
(919) 381-5366
Mailing address
813 BROAD ST, DURHAM, NC 27705-4137
(919) 381-5365
(919) 381-5266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917825
—
NC
Enumeration date
12/02/2010
Last updated
06/07/2012
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