Organization
PR EYECARE CONSULTING GROUP OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MICHAEL ROGASKI OD (PRESIDENT OWNER)
(336) 472-8700
Entity
Organization
Contact information
Practice address
1040 RANDOLPH STR, STE 14-15, THOMASVILLE, NC 27360
(336) 472-8700
(336) 472-8740
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011UP
—
NC
Enumeration date
07/06/2006
Last updated
10/25/2019
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