Carolina Family Optometry, PLLC
Optometrist in Statesville, NC. Organization (NPI-2).
NPI number1639137888
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1639137888
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Family Optometry, PLLC
- Organization subpart
- No
- Enumeration date
- May 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1887 | NC | Yes |
Practice location
1116 Crossroads DrStatesville, NC 28625-8277
Phone 704-872-0616 · Fax 704-872-6494
Mailing address
1116 Crossroads DrStatesville, NC 28625-8277
Phone 704-872-0616 · Fax 704-872-6494
Authorized official
Jay Drennen Crim
Partner/Owner
7048720616
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