Healthcare Provider Details

I. General information

NPI: 1598221848
Provider Name (Legal Business Name): EYE PHYSICIANS AND SURGEONS OF DURHAM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 NORTH ROXBORO STREET
DURHAM NC
27704-5800
US

IV. Provider business mailing address

3811 NORTH ROXBORO STREET
DURHAM NC
27704-5800
US

V. Phone/Fax

Practice location:
  • Phone: 919-999-6093
  • Fax: 844-802-1324
Mailing address:
  • Phone: 919-999-6093
  • Fax: 844-802-1324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH P. GIRA
Title or Position: PRESIDENT OF OPHTHALMOLOGY
Credential: MD
Phone: 636-227-2600