| Sandra Vidacic Mokris, OD | |
|
6136 Falls Of Neuse Rd, Raleigh, NC 27609-3528 | |
| (984) 206-6890 | |
| Not Available |
| Full Name | Sandra Vidacic Mokris |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 6136 Falls Of Neuse Rd, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124485503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2541 (North Carolina) | Primary |
| Provider Name | Eyes On North Ridge Od Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871238493 PECOS PAC ID: 2860876620 Enrollment ID: O20220829002840 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Vidacic Mokris, OD 6136 Falls Of Neuse Rd, Raleigh, NC 27609-3528 Ph: (984) 206-6890 | Sandra Vidacic Mokris, OD 6136 Falls Of Neuse Rd, Raleigh, NC 27609-3528 Ph: (984) 206-6890 |
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