Organization
JOSEPH C BAZEMORE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CLAUDE BAZEMORE OD (PRESIDENT)
(919) 286-2225
Entity
Organization
Contact information
Practice address
918 BROAD ST, DURHAM, NC 27705
(919) 286-2225
(919) 595-0857
Mailing address
918 BROAD ST, DURHAM, NC 27705
(919) 286-2225
(919) 595-0857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909057
—
NC
Enumeration date
10/19/2009
Last updated
10/19/2009
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