Organization
CAPE FEAR EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A MADISON (CREDENTIALING MANAGER)
(910) 484-2284
Entity
Organization
Contact information
Practice address
1726 METRO MEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-2284
(910) 484-0458
Mailing address
1726 METRO MEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-2284
(910) 484-0458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890246F
—
NC
Enumeration date
05/20/2006
Last updated
04/25/2012
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