Individual
DR. FREDERIC A MUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12205 CAPITAL BLVD, WAKE FOREST, NC 27587-6200
(919) 554-2020
(919) 556-4047
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601000817
VA
152W00000X
Optometrist
Primary
955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09640
BCBS PROV #
NC
01
—
540004216
RR MEDICARE INDIVIDUAL #
NC
05
—
8909640
—
NC
Enumeration date
08/02/2005
Last updated
03/21/2023
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