Individual
PETER K DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
306 MUIRS CHAPEL ROAD, SUITE B, GREENSBORO, NC 27410-6117
(336) 854-0066
(336) 252-1053
Mailing address
306 MUIRS CHAPEL RD, SUITE B, GREENSBORO, NC 27410-6177
(336) 854-0066
(336) 252-1053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09244
BLUE CROSS BLUE SHIELD
NC
01
—
246639A
MEDICARE PTAN
NC
01
—
3368540066
VISION SERVICE PLAN
NC
05
—
7909244
—
NC
Enumeration date
05/04/2006
Last updated
03/05/2021
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