Organization
EYE TECH OPTICAL INC
Active
Other names
Eye Tech Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LEE HATHAWAY OPTICIAN (PRESIDENT)
(910) 487-1863
Entity
Organization
Contact information
Practice address
1800 N SKIBO RD, SUITE 148 A, FAYETTEVILLE, NC 28303-3485
(910) 487-1863
(910) 487-5018
Mailing address
1800 N SKIBO RD, SUITE 148 A, FAYETTEVILLE, NC 28303-3485
(910) 487-1863
(910) 487-5018
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136935
EYE MED
NC
Enumeration date
02/26/2007
Last updated
08/22/2020
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