Hollis, Peter Wright

Hollis, Peter Wright is an sole proprietor health care provider with primary practice located at 3320 Executive Dr Suite 111, Raleigh NC 27609-7445. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hollis, Peter Wright can be contacted via phone (919) 876-2427.

Contact Information

Primary practice address
3320 Executive Dr Suite 111 Raleigh NC 27609-7445
Fax: (919) 850-9234
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1008 North Carolina

Profile Details

NPI number 1154321172
LBN Legal business name Hollis, Peter Wright
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Sep 4th, 2015 - about 9 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 1154321172 NPPES
North Carolina Other 09414 BCBS PROV #
North Carolina MEDICAID 8909414 BCBS PROV #

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