Organization
PROFESSIONAL EYECARE OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ERIC RAYNOR OD (OWNER)
(910) 423-0700
Entity
Organization
Contact information
Practice address
3701 S MAIN ST, HOPE MILLS, NC 28348-1958
(910) 423-0700
(910) 423-0882
Mailing address
3701 S MAIN ST, HOPE MILLS, NC 28348-1958
(910) 423-0700
(910) 423-0882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1508
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890902F
—
NC
Enumeration date
02/27/2007
Last updated
04/21/2015
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