Organization
WINSTON SALEM OPTOMETRIC GROUP PA
Active
Other names
C distinctive eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN PRESNELL (MANAGER)
(336) 722-5346
Entity
Organization
Contact information
Practice address
302 S STRATFORD RD, SUITE B, WINSTON SALEM, NC 27103-1856
(336) 722-5346
(336) 722-5348
Mailing address
302 S STRATFORD RD, SUITE B, WINSTON SALEM, NC 27103-1856
(336) 722-5346
(336) 722-5348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2045
NC
Other
Enumeration date
06/12/2008
Last updated
10/19/2016
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