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Individual

DR. RICHARD L BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
133 GLEN RD, GARNER, NC 27529-7947
(919) 779-1500
(919) 779-5015
Mailing address
133 GLEN RD, GARNER, NC 27529-7947
(919) 779-1500
(919) 779-5015

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC 1312
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013032739
LOCATION NPI
NC
Enumeration date
05/09/2006
Last updated
02/21/2020
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