Provider Demographics
NPI:1679378806
Name:CARY VISION THERAPY AND NEURO-OPTOMETRIC REHABILITATION, PLLC
Entity type:Organization
Organization Name:CARY VISION THERAPY AND NEURO-OPTOMETRIC REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-465-7400
Mailing Address - Street 1:7560 CARPENTER FIRE STATION RD STE 207
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9637
Mailing Address - Country:US
Mailing Address - Phone:984-230-5099
Mailing Address - Fax:984-400-6274
Practice Address - Street 1:7560 CARPENTER FIRE STATION RD STE 207
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-9637
Practice Address - Country:US
Practice Address - Phone:984-230-5099
Practice Address - Fax:984-400-6274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1235913005OtherINDIVIDUAL NPI
NC2759OtherNC LICENSE
NC16025652OtherCAQH