Organization · NPI-2

Alpha Source LLC

Optometrist · Charlotte, NC

NPI number1275697880
StatusActive
Last updated in NPPESAug 19, 2011

Details

NPI
1275697880
Entity type
Organization (NPI-2)
Legal business name
Alpha Source LLC
Organization subpart
No
Enumeration date
Dec 20, 2006
Last updated
Aug 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1289NCYes

Other names

  • Vision Optics (Doing Business As)

Practice location

8334 Pineville Matthews Rd
103-186
Charlotte, NC 28226-3774

Phone 888-628-1902 · Fax 888-628-1902

Mailing address

8334 Pineville Matthews Rd
103-186
Charlotte, NC 28226-3774

Phone 888-628-1902 · Fax 888-628-1902

Authorized official

C Reynolds
Member
8886281902

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