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Organization

ALLEN H BANDY JR

Active
Other names
Lifetime Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN HILL BANDY JR. OD (OWNER)
(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
PO BOX 25, 21 SOUTH MAIN AVE., NEWTON, NC 28658-0025
(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
NC BCBS
NC
05
8909091
NC
Enumeration date
11/16/2006
Last updated
03/04/2008
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