Organization
PROFESSIONAL OPTICIANS OF NC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE L BELLIS (SECRETARY)
(910) 483-0548
Entity
Organization
Contact information
Practice address
1635 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-0548
(910) 483-6628
Mailing address
1635 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-0548
(910) 483-6628
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1920
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8801782
—
NC
Enumeration date
08/02/2011
Last updated
08/02/2011
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