Organization
RTP VISION OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANAR H LOU OD (OWNER)
(919) 572-6771
Entity
Organization
Contact information
Practice address
8210 RENAISSANCE PKWY, DURHAM, NC 27713-6688
(919) 572-6771
(919) 572-6447
Mailing address
2125 THORNBLADE DR, RALEIGH, NC 27604-6438
(704) 890-6811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
12/13/2018
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