Individual
MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14460 NEW FALLS OF NEUSE, RALEIGH, NC 27614-8227
(919) 847-4665
(919) 488-4668
Mailing address
7100 SIX FORKS RD, SUITE 301, RALEIGH, NC 27615-6156
(919) 847-0187
(919) 676-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0926W
BLUECROSS
NC
01
—
410048136
RAILROAD MEDICARE
NC
05
—
890926W
—
NC
Enumeration date
08/31/2005
Last updated
11/15/2017
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