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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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