Individual
EMILY P PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2020
(919) 226-3735
Mailing address
7020 SIX FORKS RD, RALEIGH, NC 27615-6430
(919) 847-0187
(919) 676-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093W9
BLUE CROSS
NC
05
—
5908665
—
NC
Enumeration date
10/26/2007
Last updated
02/12/2013
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