Organization
LEWISVILLE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKEY LEE SIPE O.D. (PRESIDENT)
(336) 945-3716
Entity
Organization
Contact information
Practice address
6758 SHALLOWFORD ROAD, LEWISVILLE, NC 27023
(336) 945-3716
(336) 945-3001
Mailing address
PO BOX 399, LEWISVILLE, NC 27023-0399
(336) 945-3716
(336) 945-3001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
881
NC
Other
Enumeration date
07/25/2007
Last updated
12/01/2008
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