Organization
CAROLINA FAMILY VISION, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTY L. TART-BRYAN O.D. (PRESIDENT)
(919) 386-2020
Entity
Organization
Contact information
Practice address
316 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540
(919) 386-2020
Mailing address
316 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540
(919) 386-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912048
—
NC
Enumeration date
05/14/2009
Last updated
07/27/2010
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