Individual
PETER ARTHUR VAN HOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 STANTONSBURG RD STE A, GREENVILLE, NC 27834-3205
(252) 758-2402
(252) 758-2762
Mailing address
2501 STANTONSBURG RD STE A, GREENVILLE, NC 27834-3205
(252) 758-2402
(252) 758-2762
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085949
BCBS
VA
05
—
6301011
—
VA
05
—
7984725
—
NC
01
—
80015160
MEDICARE RAILROAD
NC
01
—
84725
BCBS
NC
Enumeration date
10/06/2005
Last updated
06/23/2008
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