Waxhaw Family Vision Care Od, Pllc

NPI 1669480182 - Optometrist - 152W00000X

NPI Details
NPI 1669480182
Enumeration Date 08/03/2006
Last Updated 05/01/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (704) 843-3053
Fax
Practice Location
3909 PROVIDENCE RD S
SUITE H
WAXHAW NC, 28173-7480, US
Phone (704) 843-3053
Fax
Business Location
3909 PROVIDENCE RD S
SUITE H
WAXHAW NC, 28173-7480, US
Phone (704) 843-3053
Fax
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1412
Remove 1669480182 NPI Number
 

According to our database, Waxhaw Family Vision Care Od, Pllc NPI is 1669480182, taxonomy code is 152W00000X and license number is 1412, license state is located at North Carolina. Waxhaw Family Vision Care Od, Pllc physically located at 3909 Providence Rd S, Waxhaw NC, 28173-7480. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1669480182 NPI number is provided on an as is basis without warranty of any kind. 1669480182 is maintained by the National Plan & Provider Enumeration System. The contents of Waxhaw Family Vision Care Od, Pllc are for informational purposes only.