Individual
SAMUEL E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
615 HENSON ST STE B, ALBEMARLE, NC 28001-5397
(704) 982-2020
(704) 986-4242
Mailing address
615 B HENSON, P O BOX 970, ALBEMARLE, NC 28001-0615
(704) 982-2020
(704) 986-4242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909913
—
NC
Enumeration date
05/04/2006
Last updated
02/10/2022
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