Provider Demographics
NPI:1215738968
Name:PEEK-A-BOO OPTOMETRY FOR KIDS, PLLC
Entity type:Organization
Organization Name:PEEK-A-BOO OPTOMETRY FOR KIDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-259-6718
Mailing Address - Street 1:8000 TOWN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2828
Mailing Address - Country:US
Mailing Address - Phone:919-424-6609
Mailing Address - Fax:
Practice Address - Street 1:8000 TOWN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2828
Practice Address - Country:US
Practice Address - Phone:919-424-6609
Practice Address - Fax:919-431-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty