Organization
PORT CITY OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASIKA WHITESELL OD (OPTOMETRIST)
(910) 200-0635
Entity
Organization
Contact information
Practice address
8035 MARKET ST OFC, WILMINGTON, NC 28411-9385
(910) 200-0635
Mailing address
3259 KELLERTON PL, WILMINGTON, NC 28409-4261
(910) 200-0635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750717336
—
NC
Enumeration date
10/21/2022
Last updated
10/21/2022
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