Organization
FUQUAY EYE CARE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK A ODOWD OD (PRESIDENT)
(919) 557-0308
Entity
Organization
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, FUQUAY VARINA, NC 27526-2376
(919) 557-0308
(919) 557-3818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890194Y
—
NC
Enumeration date
08/31/2005
Last updated
01/12/2010
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