NPI 1174907018
Prophetice Vision Care
Practice location
- Address
- 204 Kenmore St N, Wilson, NC 27893-1848
- Phone
- (252) 366-3191
Authorised official
- Name
- Amanda Delores Allen
- Title
- Owner
- Phone
- (252) 366-3191
Registered specialties
Customized Equipment (DME)
Primary
Registry record
- NPI
- 1174907018
- Entity type
- Organization
- NPI issued
- 9 Jul 2015
- Record last updated
- 9 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.