Individual
VAN S ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1016 KIRKPATRICK ROAD, BURLINGTON, NC 27215-9714
(336) 228-0254
(336) 584-0101
Mailing address
1016 KIRKPATRICK ROAD, BURLINGTON, NC 27215-9714
(336) 228-0254
(336) 584-0101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909786
—
NC
Enumeration date
07/10/2006
Last updated
11/19/2009
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