John E Thordsen JR.
Ophthalmologist Retina Specialist
4414 Lake Boone Trl Ste 302
Raleigh
, North Carolina 27607-7514
John E Thordsen JR.
Ophthalmologist Retina Specialist
4414 Lake Boone Trl Ste 302
Raleigh
, North Carolina 27607-7514
(919) 782-8189
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About
Features
Specialties
- Ophthalmologist
- Retina Specialist
Languages spoken
- English
Location
First Address
- John E Thordsen JR.
- 4414 Lake Boone Trl 302
- Raleigh, NC
- Zip : 27607-7513
- Fax : (919) 782-8189
- Phone : (919) 782-8038
Second Address
- John E Thordsen JR.
- 4414 Lake Boone Trl Ste 302
- Raleigh, NC
- Zip : 27607-7514
- Fax : (919) 782-8189
- Phone : (197) 828-0389
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmologist | 2011-00308 | NC |
| Y | 207WX0107X | Retina Specialist | 2011-00308 | NC |
National Provider Identifier
| NPI | 1073659769 |
|---|---|
| Provider Name | John E Thordsen JR. |
| First Address | Raleigh, NC 27607-7513 |
| Second Address | Raleigh, NC 27607-7514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 24/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.