Dvorzsak, Devon C

Dvorzsak, Devon C is an individual health care provider with primary practice located at 5226 Sigmon Rd Attn: Optical, Wilmington NC 28403-1666. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dvorzsak, Devon C can be contacted via phone (910) 793-1517.

Contact Information

Primary practice address
5226 Sigmon Rd Attn: Optical Wilmington NC 28403-1666
Fax: (910) 793-1518
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1901 North Carolina
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1901 North Carolina
Eye and Vision Services Providers / Pediatrics 152WP0200X 1901 North Carolina
Eye and Vision Services Providers / Occupational Vision 152WX0102X 1901 North Carolina

Profile Details

NPI number 1942241898
LBN Legal business name Dvorzsak, Devon C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942241898 NPPES
North Carolina Other 093TG BCNS NUMBER
North Carolina MEDICAID 89093RA BCNS NUMBER

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