Organization
KELLY EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIDY E KNIGHT (INSURANCE MANAGER)
(919) 282-1100
Entity
Organization
Contact information
Practice address
10321 LUMLEY RD, SUITE 200, RALEIGH, NC 27617-8640
(919) 282-1100
(919) 282-1119
Mailing address
10321 LUMLEY RD, SUITE 200, RALEIGH, NC 27617-8640
(919) 282-1100
(919) 282-1119
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802107
—
NC
Enumeration date
09/19/2008
Last updated
09/19/2008
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