Organization
CAROLINA VISION ASSOCIATES, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN FLOYD JACKSON O.D. (PRESIDENT)
(910) 264-7989
Entity
Organization
Contact information
Practice address
5301 B MARKET ST, CAROLINA VISON ASSOCIATES, OD, PA, WILMINGTON, NC 28405
(910) 202-6765
(910) 397-9245
Mailing address
5301 B MARKET ST, CAROLINA VISON ASSOCIATES, OD, PA, WILMINGTON, NC 28405
(910) 202-6765
(910) 397-9245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1907
NC
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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