Organization
NORTHWEST EYE SURGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J PRESKE MD (OWNER)
(336) 789-3937
Entity
Organization
Contact information
Practice address
1015 WORTH ST, MOUNT AIRY, NC 27030-4452
(336) 789-3937
(336) 786-9857
Mailing address
1015 WORTH ST, MOUNT AIRY, NC 27030-4452
(336) 789-3937
(336) 786-9857
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
28890
NC
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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