Organization · Type 2 NPI

Ckfogleman Od, PLLC

Clinic/Center · Wilmington, NC

NPI number 1790388973 Active

Practice location

1205 Floral Pkwy
Wilmington, NC 28403-6216

Call (910) 791-6086 Map

Mailing address

3216 Red Berry Dr
Wilmington, NC 28409-2522

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

Other clinic/center providers in Wilmington

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NPI record

NPI: 1790388973
Entity type: Organization (Type 2)
Issued: Nov 19, 2020
Last updated: Nov 19, 2020
Status: Active

Other names

Wilmington Optometry · doing business as
Wilmington Optometry, PA · former legal business name

Authorized official

Dr. Caroline Kaleel Fogleman, OD
Optometrist
(910) 791-6086

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About NPI 1790388973

Ckfogleman Od, PLLC's National Provider Identifier is 1790388973, issued on Nov 19, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wilmington, NC. The record was last updated on Nov 19, 2020.