Organization
NC EYE ASSOCIATES OD PLLC
Active
Other names
NC Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A SAMUELS OD (OWNER/OPTOMETRIST)
(919) 363-5500
Entity
Organization
Contact information
Practice address
1429 KELLY ROAD, APEX, NC 27502
(919) 363-5500
Mailing address
1429 KELLY ROAD, APEX, NC 27502
(919) 363-5500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2434
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164890521
—
NC
Enumeration date
12/28/2016
Last updated
04/03/2017
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