Organization
CAROLINA OPTICAL PARTNERS
Active
Other names
carolina optical shop
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WOODCOCK (SECRETARY)
(910) 485-3937
Entity
Organization
Contact information
Practice address
2047 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3688
(910) 485-3937
(910) 221-3671
Mailing address
2047 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3688
(910) 485-3937
(910) 221-3671
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
21583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802076
—
NC
Enumeration date
06/18/2007
Last updated
12/27/2007
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