Individual
JEFFREY R COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
919 S 16TH ST, WILMINGTON, NC 28401-8015
(910) 762-4004
(910) 762-1605
Mailing address
919 S 16TH ST, WILMINGTON, NC 28401-8015
(910) 762-4004
(910) 762-1605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890910G
—
NC
Enumeration date
07/19/2005
Last updated
05/21/2025
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