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Organization

FAMILY EYECARE OF APEX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL RICHARD MARINO OD (PRESIDENT)
(919) 367-8411
Entity
Organization

Contact information

Practice address
113 SALEM TOWNE CT, APEX, NC 27502-2311
(919) 367-8411
(919) 367-8431
Mailing address
113 SALEM TOWNE CT, APEX, NC 27502-2311
(919) 367-8411
(919) 367-8431

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890908C
NC
Enumeration date
11/24/2009
Last updated
11/24/2009
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