| Brier Creek Vision Care, Pa | |
|
9650 Brier Creek Pkwy Ste 107 Raleigh NC 27617-6504 | |
| (919) 361-2299 | |
| (919) 361-0055 |
| Full Name | Brier Creek Vision Care, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 9650 Brier Creek Pkwy Ste 107, Raleigh, North Carolina |
| Authorized Official Name and Position | Susan Licata Durham (PRESIDENT) |
| Authorized Official Contact | 9193612299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brier Creek Vision Care, Pa 9650 Brier Creek Pkwy Ste 107 Raleigh NC 27617-6504 Ph: (919) 361-2299 | Brier Creek Vision Care, Pa 9650 Brier Creek Pkwy Ste 107 Raleigh NC 27617-6504 Ph: (919) 361-2299 |
| NPI Number | 1881925378 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 6305972043 |
|---|---|
| Medicare Enrollment ID | O20100331001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881925378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1335 (North Carolina) | Primary |
| Provider Name | Susan L Durham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023043163 PECOS PAC ID: 2769467505 Enrollment ID: I20100331001281 |
| Provider Name | Esther Mh Nakagawara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508171364 PECOS PAC ID: 8820276421 Enrollment ID: I20110630000350 |
| Provider Name | Pooja J Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821439332 PECOS PAC ID: 4082848544 Enrollment ID: I20150511001697 |
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