Organization
DOCTORS VISION CENTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY E HUNT MD (OPHTHALMOLOGIST)
(919) 944-0080
Entity
Organization
Contact information
Practice address
4035 LAKE BOONE TRL, # 103, RALEIGH, NC 27607-2800
(919) 944-0080
Mailing address
4035 LAKE BOONE TRL, # 103, RALEIGH, NC 27607-2800
(919) 944-0080
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2007-00416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019GJ
BCBS GRP #
NC
05
—
5908638
—
NC
Enumeration date
06/13/2007
Last updated
08/27/2014
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