Individual
DOUGLAS MARTIN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER/OPTICIAN
Contact information
Practice address
115 MARKET ST, DURHAM, NC 27701-3251
(919) 368-0403
Mailing address
115 MARKET ST, DURHAM, NC 27701-3251
(919) 368-0403
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451
LICENSED OPTICIAN
NC
Enumeration date
07/07/2017
Last updated
07/21/2022
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