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General NPI Number Information
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NPI Number | 1841285673
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Entity Type | Organization
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Legal Business Name | MOTSINGER ADVANCED EYE CARE, O.D., P.L.L.C.
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 US HIGHWAY 117 S STE. 4
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City | BURGAW
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State | NC
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Zip | 28425-6704
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Country | US
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Telephone | 910-259-9230
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Fax | 910-259-9215
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Provider Business Mailing Address
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Address Line | 205 US HIGHWAY 117 S STE. 4
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City | BURGAW
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State | NC
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Zip | 28425-6704
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Country | US
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Telephone | 910-259-9230
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Fax | 910-259-9215
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. PERRY C. MOTSINGER
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Credential | O.D.
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Telephone | 910-259-9230
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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 | 1869
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License Number State | NC
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