Organization
SENIOR VISION CARE, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GIFFORD O.D. (OWNER)
(980) 229-0707
Entity
Organization
Contact information
Practice address
12612 DIAMOND DR, PINEVILLE, NC 28134-8114
(980) 229-0707
Mailing address
12612 DIAMOND DR, PINEVILLE, NC 28134-8114
(980) 229-0707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2112
NC
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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