Organization
DAVID LAUREN FITZGERALD OD PA
Active
Other names
Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L FITZGERALD OD (PRESIDENT)
(252) 756-4204
Entity
Organization
Contact information
Practice address
2490 STANTONSBURG RD, GREENVILLE, NC 27834-7210
(252) 752-4844
(252) 752-7131
Mailing address
2490 STANTONSBURG RD, GREENVILLE, NC 27834-7210
(252) 752-4844
(252) 752-7131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015AF
BCBSNC GROUP NUMBER
NC
05
—
89015AF
—
NC
Enumeration date
06/12/2006
Last updated
02/27/2009
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