Organization
THE RALEIGH EYE CENTER
Active
Other names
THE OPTICAL DISPENSARY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAWKINS JR. (OPTICIAN)
(919) 876-2485
Entity
Organization
Contact information
Practice address
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609-7445
(919) 876-2485
(919) 850-9284
Mailing address
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609-7445
(919) 876-2485
(919) 850-9284
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
350
NC
Other
Enumeration date
04/10/2006
Last updated
07/01/2008
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