Individual
DR. ROBERT EDWARD CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
485 WEST ST, PITTSBORO, NC 27312-9533
(919) 542-2020
(919) 545-0922
Mailing address
485 WEST ST, PO BOX 1027, PITTSBORO, NC 27312-9533
(919) 542-2020
(919) 545-0922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09174
BCBS
NC
05
—
8909174
—
NC
Enumeration date
01/19/2006
Last updated
07/11/2016
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