Healthcare Provider Details

I. General information

NPI: 1740160100
Provider Name (Legal Business Name): AVRIL PETERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 APEX PEAKWAY
APEX NC
27502-5709
US

IV. Provider business mailing address

1000 BENT OAK CT
RALEIGH NC
27603-9300
US

V. Phone/Fax

Practice location:
  • Phone: 919-362-3737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number2240
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: