Organization
LANE OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LANE O.D. (OWNER)
(910) 508-4127
Entity
Organization
Contact information
Practice address
1345 WESTERN BLVD STE 120B, JACKSONVILLE, NC 28546-7627
(910) 376-8229
(910) 937-0020
Mailing address
120 WYNDHAM WAY, WILMINGTON, NC 28411-6710
(910) 508-4127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2030
NC
Other
Enumeration date
11/06/2011
Last updated
11/27/2016
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