Organization
FAMILY EYE CENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY S TAYLOR (ADMINISTRATOR)
(252) 438-6132
Entity
Organization
Contact information
Practice address
560 DABNEY DRIVE, HENDERSON, NC 27536
(252) 438-6132
(252) 438-5161
Mailing address
560 DABNEY DRIVE, HENDERSON, NC 27536
(252) 438-6132
(252) 438-5161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890204N
—
NC
05
—
890914A
—
NC
05
—
8909180
—
NC
05
—
890920F
—
NC
05
—
8909407
—
NC
05
—
8909432
—
NC
05
—
8909439
—
NC
05
—
890971A
—
NC
05
—
890980A
—
NC
Enumeration date
10/17/2006
Last updated
01/02/2013
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