Organization
CRAVEN OPTOMETRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL HYMAN MEWBORN III O.D. (PRESIDENT)
(252) 633-0651
Entity
Organization
Contact information
Practice address
3005 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-5211
(252) 633-0651
(252) 514-9419
Mailing address
3005 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-5211
(252) 633-0651
(252) 514-9419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909610
—
NC
Enumeration date
04/25/2008
Last updated
04/25/2008
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