Organization
TRIAD OPTOMETRIC GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MILLER (PRESIDENT)
(919) 782-9091
Entity
Organization
Contact information
Practice address
4151MAIN @ NORTH HILLS ST, # 100, RALEIGH, NC 27609
(919) 782-9091
Mailing address
4151 MAIN @ NORTH HILLS ST, # 100, RALEIGH, NC 27609
(919) 782-9091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1585
NC
Other
Enumeration date
09/05/2006
Last updated
03/07/2008
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