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Individual

DR. DEVON C DVORZSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5226 SIGMON RD, ATTN: OPTICAL, WILMINGTON, NC 28403-1666
(910) 793-1517
(910) 793-1518
Mailing address
5226 SIGMON RD, ATTN: OPTICAL, WILMINGTON, NC 28403-1666
(910) 793-1517
(910) 793-1518

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
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