Organization
MA RM JH INC
Active
Other names
Hardwick Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MOODY (OWNER)
(910) 997-7766
Entity
Organization
Contact information
Practice address
1502 E BROAD AVE, SUITE A, ROCKINGHAM, NC 28379-4908
(910) 997-7766
Mailing address
1502 E BROAD AVE, SUITE A, ROCKINGHAM, NC 28379-4908
(910) 997-7766
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920956
—
NC
Enumeration date
12/30/2011
Last updated
03/26/2013
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