Individual
DR. EVANGELINE P ODOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
505 N JUDD PKWY NE, FUQUAY VARINA, NC 27526-2376
(919) 557-0308
(919) 557-3818
Mailing address
505 N JUDD PKWY NE, STE 109, FUQUAY VARINA, NC 27526-2389
(919) 557-0308
(919) 557-3818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890194Y
—
NC
05
—
890904A
—
NC
Enumeration date
08/15/2005
Last updated
04/27/2017
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