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General NPI Number Information
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NPI Number | 1902857675
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Entity Type | Organization
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Legal Business Name | RALEIGH EYE CENTER, PA
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 3320 EXECUTIVE DR SUITE 111
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City | RALEIGH
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State | NC
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Zip | 27609-7445
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Country | US
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Telephone | 919-876-2427
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Fax | 919-790-8423
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Provider Business Mailing Address
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Address Line | 3320 EXECUTIVE DR SUITE 111
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City | RALEIGH
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State | NC
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Zip | 27609-7445
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Country | US
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Telephone | 919-876-2427
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Fax | 919-790-8423
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | LESLIE ARNOLD
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Credential |
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Telephone | 919-876-2427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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