Optometric Eye Clinic, P.a.

NPI 1295030989 - Optometrist - 152W00000X

NPI Details
NPI 1295030989
Enumeration Date 01/11/2011
Last Updated 04/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PEGGY LYNN PEGGY
Position OWNER
Phone (704) 664-5406
Fax (704) 663-6498
Practice Location
622 N MAIN ST
MOORESVILLE NC, 28115-2312, US
Phone (704) 664-5406
Fax (704) 663-6498
Business Location
PO BOX 359
MOORESVILLE NC, 28115-0359, US
Phone (704) 664-5406
Fax (704) 663-6498
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1130
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According to our database, Optometric Eye Clinic, P.a. NPI is 1295030989, taxonomy code is 152W00000X and license number is 1130, license state is located at North Carolina. Optometric Eye Clinic, P.a. physically located at 622 N Main St, Mooresville NC, 28115-2312. NPI Number 1033115704 has the healthcare provider type.

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1295030989 NPI number is provided on an as is basis without warranty of any kind. 1295030989 is maintained by the National Plan & Provider Enumeration System. The contents of Optometric Eye Clinic, P.a. are for informational purposes only.