Healthcare Provider Details

I. General information

NPI: 1528016185
Provider Name (Legal Business Name): LINDA MARIE DOERING O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA DOERING SMITH O.D.

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 WB MCLEAN DR
CAPE CARTERET NC
28584-8516
US

IV. Provider business mailing address

313 WB MCLEAN DR
CAPE CARTERET NC
28584-8516
US

V. Phone/Fax

Practice location:
  • Phone: 252-393-3010
  • Fax: 252-393-3459
Mailing address:
  • Phone: 252-393-3010
  • Fax: 252-393-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1361
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: