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Contact Information

RALEIGH EYE CENTER, PA
3320 EXECUTIVE DR
SUITE 111
RALEIGH, NC27609-7445
 Phone: 919-876-2427
 Fax: 919-790-8423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Glaucoma Specialist

207WX0009X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RALEIGH EYE CENTER PA · (Female)

NPI # 1902857675
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 7902720
  • NC Medicaid 8001998
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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