# ENVOLVE OPTICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ENVOLVE VISION BENEFITS INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396252680
- **Legal business name:** ENVOLVE VISION BENEFITS INC
- **Authorized official:** DAVID LAVELY (PRESIDENT & CEO)
- **Authorized official phone:** (252) 544-9251

## Contact information

- **Practice address:** 112 ZEBULON CT, ROCKY MOUNT, NC 27804-2420
- **Practice address phone:** (252) 544-9296
- **Mailing address:** 112 ZEBULON CT, ROCKY MOUNT, NC 27804-2420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2018
- **Last updated:** 01/08/2018
