Organization
LIONS SERVICES, INC.
Active
Organization
LIONS SERVICES, INC.
Active
Other names
Lions Services Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM R. CRANFORD (EXECUTIVE DIRECTOR)
(704) 921-1527
Entity
Organization
Contact information
Practice address
4600 N TRYON ST STE A, CHARLOTTE, NC 28213-7058
(704) 599-4760
(704) 921-5758
Mailing address
4600 N TRYON ST STE A, CHARLOTTE, NC 28213-7058
(704) 599-4760
(704) 921-5758
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
X-0736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01733
NC HEALTH CHOICE
NC
05
—
8801960
—
NC
05
—
890206L
—
NC
Enumeration date
03/30/2007
Last updated
04/23/2009
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