Basic Information
| Provider Information | |||||||||
| NPI: | 1215994348 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOHI | ||||||||
| FirstName: | BALPREET | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3901 CAPITAL BLVD | ||||||||
| Address2: | STE 113 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276043487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193620332 | ||||||||
| FaxNumber: | 9193620933 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 W WILLIAMS ST | ||||||||
| Address2: | SUITE 164 | ||||||||
| City: | APEX | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275025203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193620332 | ||||||||
| FaxNumber: | 9193620933 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2006 | ||||||||
| LastUpdateDate: | 06/05/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 1922 | NC | Y | Eye and Vision Services Providers | Optometrist |
ID Information
| ID | Type | State | Issuer | Description | 89093N3 | 05 | NC | MEDICAID | 093RK | 01 | NC | BCBS OF NC | OTHER |