Organization
CAPE FEAR OPTOMETRIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLESS PHILBRICK OD (PRESIDENT OPTOMETRIST)
(910) 484-6178
Entity
Organization
Contact information
Practice address
1613 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 484-6178
(910) 323-3048
Mailing address
1613 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 484-6178
(910) 323-3048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890912C
—
NC
05
—
8909717
—
NC
Enumeration date
04/05/2006
Last updated
04/17/2008
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