Whalio Doctors

NPI 1841639564

Anton Vlasov, DO

Practitioner Ophthalmology Physician Fort Bragg, NC

Practice location

Address
2817 Reilly St, Fort Bragg, NC 28310-0004
Phone
(910) 907-6001
Mailing address
6200 Fauvette Ln, Holly Springs, NC 27540-6443

Registered specialties (2)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 2017-02607 (NC)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 1489 (NE)

Registry record

NPI
1841639564
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jun 2013
Record last updated
2 Apr 2018

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.