Organization
VISTACARE OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GIBSON OD (PRESIDENT)
(919) 852-1563
Entity
Organization
Contact information
Practice address
2010 KILDAIRE FARM RD, CARY, NC 27518-6614
(919) 852-1563
Mailing address
2010 KILDAIRE FARM RD, CARY, NC 27518-6614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890922G
—
NC
Enumeration date
11/11/2008
Last updated
08/05/2013
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