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SOUTHERN OPTOMETRY GROUP NPI 1225224595


NPI Information

NPI: 1225224595
Provider Name: SOUTHERN OPTOMETRY GROUP
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
10050 GLENWOOD AVE
RALEIGH, NC
ZIP 27617
Phone: (919) 596-3300
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SOUTHERN OPTOMETRY GROUP is an optometrist in Raleigh, NC. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. SOUTHERN OPTOMETRY GROUP NPI is 1225224595. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10050 GLENWOOD AVE
RALEIGH, NC
ZIP 27617-436
Phone: (919) 596-3300

The provider's authorized official is Mark Allen Schoning .
The authorized official title is Owner and has the following contact phone number (919) 460-7470.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 3/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist1342NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1890936NMEDICAIDNORTH CAROLINA
22468033MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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