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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
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