Organization
OPTOMETRIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PATE (DOCTOR)
(919) 683-2020
Entity
Organization
Contact information
Practice address
2900 CROASDAILE DR, DURHAM, NC 27705-2579
(919) 683-2020
(919) 683-2020
Mailing address
2900 CROASDAILE DR, DURHAM, NC 27705-2579
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093TX
BCBS
NC
05
—
5901433
—
NC
Enumeration date
08/16/2007
Last updated
03/06/2008
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