Individual
KRISTI RAESS FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7001 FAYETTEVILLE RD, SUITE 105, DURHAM, NC 27713-9643
(919) 861-9178
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2432
STATE LICENSE
NC
Enumeration date
09/01/2015
Last updated
10/14/2024
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