Organization
NORTH CAROLINA CORRECTION ENTERPRISES OPTICAL
Active
Organization
NORTH CAROLINA CORRECTION ENTERPRISES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H. LEON (CORRECTION ENTERPRISES DIRECTOR II)
(919) 716-3647
Entity
Organization
Contact information
Practice address
2869 US HIGHWAY 64A, NASHVILLE, NC 27856-8765
(888) 388-1353
(252) 459-7400
Mailing address
2869 US HIGHWAY 64A, NASHVILLE, NC 27856-8765
(888) 388-1353
(252) 459-7400
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332H00000X
PROVIDER TOXONOMY CODE
NC
05
—
8802023
—
NC
Enumeration date
07/09/2006
Last updated
06/20/2008
Update your record
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