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NPI Code Detail

MEDICARE: RALEIGH OPTOMETRY, PLLC

MEDICARE: RALEIGH OPTOMETRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1083355184
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALEIGH OPTOMETRY, PLLC
Provider Business Mailing Address
First Line : 8901 RIVERVIEW PARK DR
Second Line :
City : RALEIGH
State : NC
Zip : 27613-5391
Country : US
Telephone Number : 919-272-2541
Fax Number :
Provider Business Practice Location Address
First Line : 2501 ATRIUM DR STE 150
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6674
Country : US
Telephone Number : 919-781-2116
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : DR. DONATHAN HUDGINS
Credential : OD
Telephone Number : 919-781-2116
Provider Enumeration Date : 04/05/2022
Last Update Date : 05/08/2024

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Directions to “RALEIGH OPTOMETRY, PLLC ” Practice Location

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