Organization
VISION CLINIC OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMJAD MINWER BADWAN O.D. (OWNER)
(919) 961-1115
Entity
Organization
Contact information
Practice address
4500 FAYETTEVILLE RD, RALEIGH, NC 27603-3614
(919) 961-1115
Mailing address
1270 SILVER BEACH WAY, RALEIGH, NC 27606-4889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2105
NC
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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