Salem Optical Outlet
Eyewear Supplier (Equipment, not the service) in Winston Salem, NC. Organization (NPI-2).
NPI number1912443755
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1912443755
- Entity type
- Organization (NPI-2)
- Legal business name
- Salem Optical Outlet
- Organization subpart
- No
- Enumeration date
- Jan 18, 2017
- Last updated
- Feb 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | NC | Yes |
Other names
- Salem Optical Company (Doing Business As)
Practice location
4310 Enterprise DrSuite I
Winston Salem, NC 27106-3260
Phone 336-757-1120
Mailing address
4310 Enterprise DrSuite I
Winston Salem, NC 27106-3260
Phone 336-757-1120
Authorized official
Billie Trader Litwin
President
3367571120
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