Organization
LIFETIME EYECARE OPTOMETRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN H BANDY JR. O.D. (PRESIDENT)
(828) 464-0604
Entity
Organization
Contact information
Practice address
21 S MAIN AVE, NEWTON, NC 28658-3318
(828) 464-0604
(828) 464-0982
Mailing address
21 S MAIN AVE, PO BOX 25, NEWTON, NC 28658-3318
(828) 464-0604
(828) 464-0982
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09091
BCBS OF NC
NC
05
—
5950429
—
NC
Enumeration date
09/18/2008
Last updated
09/23/2009
Update your record
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