| |
129 Shannon Vlg, Louisburg, NC 27549-2605 | |
(919) 496-2328 | |
(919) 496-6810 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 129 Shannon Vlg, Louisburg, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578868253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1420 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
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129 Shannon Vlg, Louisburg, NC 27549-2605 Ph: (919) 496-2328 | 129 Shannon Vlg, Louisburg, NC 27549-2605 Ph: (919) 496-2328 |
Coleman Harrison Lancaster Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 129 Shannon Vlg, Louisburg, NC 27549 Phone: 919-496-2328 | |
Lisa-joy Fuller Wall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 505 Retail Way Ste 118, Louisburg, NC 27549 Phone: 919-496-1156 | |
Dr. William F. Stroud, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 Retail Way Ste 118, Louisburg, NC 27549 Phone: 919-496-1156 |