Optometric Eye Site PLLC
Optometrist in Henderson, NC. Organization (NPI-2).
NPI number1437337136
StatusActive
Last updated in NPPESFeb 5, 2008
Details
- NPI
- 1437337136
- Entity type
- Organization (NPI-2)
- Legal business name
- Optometric Eye Site PLLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2008
- Last updated
- Feb 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | NC 1947 | NC | Yes |
Practice location
200 N Cooper DrWal Mart Vision Center
Henderson, NC 27536-4016
Phone 252-430-7708
Mailing address
Po Box 12134Optometric Eye Site PLLC
Durham, NC 27709-2134
Authorized official
David Coward
President
3127717411
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