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Private Diagnostic Clinic, PLLC

NPI 1366598807ActiveOrganization· Ophthalmology· Durham, NC

Ophthalmology in Durham, North Carolina, registered in NPPES in January 2007. The authorized official on file is Christopher Thomas Frederick, Cfo.

Overview

NPI1366598807
StatusActive
Entity typeOrganization
NPI issuedJan 26, 2007
Last updated in NPPESMay 18, 2022
Certified by providerMay 18, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X—NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Ophthalmology providers in Durham

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