Organization
BARRY L KAVANAUGH JR OD PA
Active
Other names
Seven Lakes Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LAURENCE KAVANAUGH JR. OD (OWNER)
(910) 673-3937
Entity
Organization
Contact information
Practice address
1110 SEVEN LAKES DR, WEST END, NC 27376
(910) 673-3937
(910) 673-3266
Mailing address
PO BOX 839, 1110 SEVEN LAKES DR, WEST END, NC 27376-0839
(910) 673-3937
(910) 673-3266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909342
—
NC
Enumeration date
03/04/2008
Last updated
06/01/2016
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