Organization
PREMIER FAMILY EYE CARE OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MACK OD (OPTOMETRIST)
(704) 821-3937
Entity
Organization
Contact information
Practice address
6044 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 821-3937
Mailing address
6044 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 821-3937
(704) 821-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2021
NC
Other
Enumeration date
04/27/2010
Last updated
01/04/2024
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