Organization
2020 EYE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILLIAM EARL LASSITER JR. (OWNER)
(704) 664-1124
Entity
Organization
Contact information
Practice address
322 E STATESVILLE AVE, MOORESVILLE, NC 28115-2594
(704) 664-1124
Mailing address
PO BOX 1524, MOORESVILLE, NC 28115-1524
(704) 664-1124
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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