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John Owens Jr.

Technician/Technologist, Optician in Winston Salem, NC. Individual provider (NPI-1).

NPI number1487042263
StatusActive
Last updated in NPPESFeb 25, 2025

Details

NPI
1487042263
Entity type
Individual (NPI-1)
Name
John Owens Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 2, 2015
Certification date
Feb 25, 2025
Last updated
Feb 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician1228NCYes

Practice location

4310 Enterprise Dr
Winston Salem, NC 27106-3260

Phone 336-757-1120

Mailing address

4310 Enterprise Dr
Winston Salem, NC 27106-3260

Phone 336-757-1120

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