Black Mountain Family Eyecare Od Pllc

NPI 1093150021 - Optometrist - 152W00000X

NPI Details
NPI 1093150021
Enumeration Date 05/03/2013
Last Updated 07/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JENNIFER JENNIFER
Position OPTOMETRIST
Phone (828) 357-5511
Fax
Practice Location
411 W STATE ST STE B
BLACK MOUNTAIN NC, 28711-3344, US
Phone (828) 357-5511
Fax
Business Location
411 W STATE ST STE B
BLACK MOUNTAIN NC, 28711-3344, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 2316
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According to our database, Black Mountain Family Eyecare Od Pllc NPI is 1093150021, taxonomy code is 152W00000X and license number is 2316, license state is located at North Carolina. Black Mountain Family Eyecare Od Pllc physically located at 411 W State St Ste B, Black Mountain NC, 28711-3344. NPI Number 1033115704 has the healthcare provider type.

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1093150021 NPI number is provided on an as is basis without warranty of any kind. 1093150021 is maintained by the National Plan & Provider Enumeration System. The contents of Black Mountain Family Eyecare Od Pllc are for informational purposes only.