Organization
DUPLIN EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL STROUD TERRY (ADMINISTRATOR)
(910) 296-1781
Entity
Organization
Contact information
Practice address
402 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-1781
(910) 296-1843
Mailing address
PO BOX 486, KENANSVILLE, NC 28349-0486
(910) 296-1781
(910) 296-1843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909129
—
NC
Enumeration date
01/10/2006
Last updated
02/10/2020
Update your record
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