| |
2603 Holly Hill St, Burlington, NC 27215-5156 | |
(336) 228-1766 | |
(336) 228-6432 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 2603 Holly Hill St, Burlington, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639444326 | NPI | - | NPPES |
8909429 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | 200001781381 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
2603 Holly Hill St, Burlington, NC 27215-5156 Ph: (336) 228-1766 | 2603 Holly Hill St, Burlington, NC 27215-5156 Ph: (336) 228-1766 |