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Organization

DANNY KEITH STAMPS

Active
Other names
Fayetteville Optometric Eye Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANNY KEITH STAMPS OD (OWNER)
(910) 323-3698
Entity
Organization

Contact information

Practice address
1669 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 323-3698
(910) 323-3491
Mailing address
1669 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 323-3698
(910) 323-3491

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1060
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09292
BLUECROSSBLUE SHIELD
NC
05
8909292
NC
05
8909871
NC
Enumeration date
06/18/2006
Last updated
11/12/2010
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