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General NPI Number Information
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NPI Number | 1093629446
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Entity Type | Organization
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Legal Business Name | PEE DEE VALLEY EYECARE OD PLLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 326 ALBEMARLE RD
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City | TROY
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State | NC
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Zip | 27371-3206
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Country | US
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Telephone | 910-576-7371
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Fax | 910-576-7372
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Provider Business Mailing Address
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Address Line | 326 ALBEMARLE RD
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City | TROY
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State | NC
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Zip | 27371-3206
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Country | US
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Telephone | 910-576-7371
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Fax | 910-576-7372
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. CARLYLE D HAYWOOD JR.
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Credential | OD
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Telephone | 910-576-7371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | NULL
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