MEDICARE: DR. DONATHAN G HUDGINS OD

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
1	152W00000X	Optometrist	1493	NC

General Provider Information

NPI Number	:	1144206350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONATHAN G HUDGINS OD

Provider Business Mailing Address
First Line	:	2501 ATRIUM DR STE 150
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6674
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	:	919-272-2541
Fax Number	:	919-794-3046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	05/08/2024

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