Organization
BLINK EYE CARE AND EYE WEAR OD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY MACINTYRE RAYKOVICZ O.D. (PRESIDENT)
(704) 817-3800
Entity
Organization
Contact information
Practice address
16618 RIVERSTONE WAY, CHARLOTTE, NC 28277-3823
(704) 817-3800
Mailing address
16618 RIVERSTONE WAY, SUITE 140, CHARLOTTE, NC 28277-5746
(704) 817-3800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1894
NC
Other
Enumeration date
09/22/2009
Last updated
06/27/2015
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