Provider Demographics
NPI:1558581462
Name:DUKE UNIVERSITY EYE CENTER
Entity Type:Organization
Organization Name:DUKE UNIVERSITY EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GLAUCOMA SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAND
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-668-5079
Mailing Address - Street 1:432 OAKDALE PLACE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001
Mailing Address - Country:US
Mailing Address - Phone:202-271-3665
Mailing Address - Fax:
Practice Address - Street 1:ERWIN ROAD
Practice Address - Street 2:BOX 3802
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-668-5079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical