Individual
DR. DANIEL MOTTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
4908 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-5257
(910) 791-2755
Mailing address
4908 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-5257
(910) 791-2755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152W00000X
—
NC
01
—
1770524100
NPI
NC
05
—
8909641
—
NC
Enumeration date
06/09/2006
Last updated
02/13/2019
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