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Organization

STEEDLY OPTOMETRIC ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY R STEEDLY O.D. (PRESIDENT)
(910) 964-5407
Entity
Organization

Contact information

Practice address
3725 RAMSEY ST, FAYETTEVILLE, NC 28311-7651
(910) 488-4674
Mailing address
7298 THOR LN, STEDMAN, NC 28391-9659
(910) 964-5407

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1806
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89093R8
NC
Enumeration date
12/28/2006
Last updated
03/24/2009
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