Organization
EYEDEALS OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L BLACK O.D. (OWNER)
(919) 877-9300
Entity
Organization
Contact information
Practice address
6085 CAPITAL BLVD, RALEIGH, NC 27616-2941
(919) 877-9300
(919) 877-9335
Mailing address
6085 CAPITAL BLVD, RALEIGH, NC 27616-2941
(919) 877-9300
(919) 877-9335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1312
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015GZ
BCBS LOCATION #
NC
01
—
1528017399
NPI
NC
Enumeration date
03/20/2007
Last updated
08/22/2020
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