Healthcare Provider Details

I. General information

NPI: 1508867417
Provider Name (Legal Business Name): METROPOLITAN ENT & ALLERGY CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 FALLS VALLEY DR SUITE 100
RALEIGH NC
27615-3451
US

IV. Provider business mailing address

2011 FALLS VALLEY DR SUITE 100
RALEIGH NC
27615-3451
US

V. Phone/Fax

Practice location:
  • Phone: 919-532-7900
  • Fax: 919-532-7901
Mailing address:
  • Phone: 919-532-7900
  • Fax: 919-532-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number9900716
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number9900706
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number9900706
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3212
License Number StateNC

VIII. Authorized Official

Name: DR. IRA DAVID VRETZKY
Title or Position: MD/OWNER
Credential: MD
Phone: 919-532-7900