John Stanley Newsome, Optician
Technician/Technologist, Optician in Winston Salem, NC. Individual provider (NPI-1).
NPI number1861476228
StatusActive
Last updated in NPPESAug 20, 2010
Details
- NPI
- 1861476228
- Entity type
- Individual (NPI-1)
- Name
- John Stanley Newsome
- Credential
- Optician
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2005
- Last updated
- Aug 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 703 | NC | Yes |
Practice location
Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-2255 · Fax 336-716-7994
Mailing address
Po Box 344Winston Salem, NC 27102-0344
Phone 336-716-2255 · Fax 336-716-7994
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