Individual
DR. PEGGY LYNN WIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
622 N MAIN ST, MOORESVILLE, NC 28115-2312
(704) 664-5406
(704) 663-6498
Mailing address
PO BOX 359, MOORESVILLE, NC 28115-0359
(704) 664-5406
(704) 663-6498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909969
—
NC
Enumeration date
07/19/2005
Last updated
04/19/2011
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