NPI | 1790388973 |
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Former Legal Business Name | WILMINGTON OPTOMETRY, PA |
Doing Business As | WILMINGTON OPTOMETRY |
Entity Type | Organization |
Authorized Contact | CAROLINE KALEEL FOGLEMAN Optometrist 910-791-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2020-11-19 |
Last Update Date | 2020-11-19 |