Organization
GOLD OPTICAL ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE R BULLOCK (OPTICIAN)
(910) 483-0548
Entity
Organization
Contact information
Practice address
1635 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-0548
Mailing address
1635 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-0548
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
454
NC
Other
Enumeration date
01/10/2007
Last updated
02/08/2008
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