Organization
OPTOMETRIC EYE SITE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID COWARD O.D. (PRESIDENT)
(312) 771-7411
Entity
Organization
Contact information
Practice address
200 N COOPER DR, WAL MART VISION CENTER, HENDERSON, NC 27536-4016
(252) 430-7708
Mailing address
PO BOX 12134, OPTOMETRIC EYE SITE PLLC, DURHAM, NC 27709-2134
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC 1947
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134166986
NPI
—
Enumeration date
02/05/2008
Last updated
02/05/2008
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