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NPI Code Detail

MEDICARE: PEEK-A-BOO OPTOMETRY FOR KIDS, PLLC

MEDICARE: PEEK-A-BOO OPTOMETRY FOR KIDS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2152WV0400XVision Therapy Optometrist
3152WP0200XPediatric Optometrist

General Provider Information

NPI Number : 1215738968
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEEK-A-BOO OPTOMETRY FOR KIDS, PLLC
Provider Business Mailing Address
First Line : 8000 TOWN DR
Second Line : ATTN: VISION CLINIC
City : RALEIGH
State : NC
Zip : 27616-2828
Country : US
Telephone Number : 919-948-3082
Fax Number : 919-869-2235
Provider Business Practice Location Address
First Line : 8000 TOWN DR
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2828
Country : US
Telephone Number : 919-948-3082
Fax Number : 919-869-2235
Authorized Official
Title or Position : OWNER/MANAGING MEMBER
Name : DR. AMBER WIGGINS
Credential : OD
Telephone Number : 919-948-3082
Provider Enumeration Date : 03/20/2025
Last Update Date : 01/26/2026

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8000 TOWN DR
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1558776344 — WALMART PHARMACY
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1609271873 — JASON CHILDRESS
Practice Location Address:
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1588037006 — FAITH MARRISSA CLARK RPH.
Practice Location Address:
8000 TOWN DR
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Practice Fax: 919-424-6245

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