Organization
RETINA INSTITUTE OF NORTH CAROLINA PC
Active
Organization
RETINA INSTITUTE OF NORTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FOGEL M.D. (OWNER)
(919) 787-8555
Entity
Organization
Contact information
Practice address
1535 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9472
(919) 787-8555
(919) 787-8112
Mailing address
2605 BLUE RIDGE RD, SUITE 220, RALEIGH, NC 27607-6475
(919) 787-8555
(919) 787-8112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200600726
NC
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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