Organization
DR JEFFREY R COLEMAN OPTOMETRIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY COLEMAN OD (OWNER)
(910) 762-4004
Entity
Organization
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
NC1329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0910G
BCBSNC
NC
05
—
890910G
—
NC
Enumeration date
06/27/2007
Last updated
03/04/2008
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