Market Plaza Optical Company
Durable Medical Equipment & Medical Supplies in Wilmington, NC. Organization (NPI-2).
NPI number1386772002
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1386772002
- Entity type
- Organization (NPI-2)
- Legal business name
- Market Plaza Optical Company
- Organization subpart
- No
- Enumeration date
- Mar 2, 2007
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 272 | NC | Yes |
Practice location
31 S Kerr AveWilmington, NC 28403-1416
Phone 910-799-5161
Mailing address
31 S Kerr AveWilmington, NC 28403-1416
Phone 910-799-5161
Authorized official
Kenneth Kirby
Optical Manager Owner
9107995161
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