Organization
NANCY M. MACKOWSKY, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY M MACKOWSKY O.D. (DOCTOR OF OPTOMETRY)
(919) 944-0195
Entity
Organization
Contact information
Practice address
4505 FAIR MEADOW LANE, SUITE 207, RALEIGH, NC 27607-6449
(919) 787-7600
(919) 787-7603
Mailing address
4505 FAIR MEADOW LANE, SUITE 207, RALEIGH, NC 27607-6449
(919) 787-7600
(919) 787-7603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
1571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890936C
—
NC
Enumeration date
01/27/2010
Last updated
04/03/2024
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