Organization
HILLCREST VISION, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAWANA COLEMAN HALL O.D. (PRESIDENT)
(336) 760-2020
Entity
Organization
Contact information
Practice address
2341 WINTERHAVEN LN, WINSTON SALEM, NC 27103-6792
(336) 760-2020
(336) 760-2858
Mailing address
2341 WINTERHAVEN LN, WINSTON SALEM, NC 27103-6792
(336) 760-2020
(336) 760-2858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902677
—
NC
Enumeration date
11/25/2008
Last updated
07/18/2013
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