Provider Demographics
NPI:1033645809
Name:ANIMAL EYE CARE VETERINARY OPHTHALMOLOGY PRACTICE, PC
Entity Type:Organization
Organization Name:ANIMAL EYE CARE VETERINARY OPHTHALMOLOGY PRACTICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:919-319-3348
Mailing Address - Street 1:6405 TRYON RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6405 TRYON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7095
Practice Address - Country:US
Practice Address - Phone:919-319-3348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC7303156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty