Organization
DR. RALPH W MAYNARD III OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH W MAYNARD III OD (PRESIDENT)
(828) 728-5322
Entity
Organization
Contact information
Practice address
124 CEDAR VALLEY RD, HUDSON, NC 28638-2507
(828) 728-5322
(828) 728-6332
Mailing address
124 CEDAR VALLEY RD, HUDSON, NC 28638-2507
(828) 728-5322
(828) 728-6332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909152
—
NC
Enumeration date
01/07/2008
Last updated
03/11/2020
Update your record
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