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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