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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
Update your record

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