Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Private Diagnostic Clinic, PLLC

Organization Optometrist · NPI 1457389033

Private Diagnostic Clinic, PLLC is an Optometrist in Durham, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Optometrist Taxonomy 152W00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Urology Physician Taxonomy 208800000X

Record details

NPI number1457389033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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