Individual
DR. DEVON C DVORZSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1901
NC
152WC0802X
Corneal and Contact Management Optometrist
1901
NC
152WP0200X
Pediatric Optometrist
1901
NC
152WX0102X
Occupational Vision Optometrist
1901
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093TG
BCNS NUMBER
NC
05
—
89093RA
—
NC
Enumeration date
06/10/2006
Last updated
06/25/2008
Update your record
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