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Individual

DR. DAVID M NOONAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
169 NORMAN STATION BLVD, MOORESVILLE, NC 28117-6396
(704) 663-3796
(704) 663-4679
Mailing address
18419 DEMBRIDGE DR, DAVIDSON, NC 28036-7819
(704) 892-3817

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1587
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093G0
BCBS
NC
01
NOONAN DAVID M 10028
OPTICARE
NC
01
NVAL28224
SPECTERA
NC
Enumeration date
05/10/2006
Last updated
04/21/2009
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