Organization
LEON BYRUM OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALLEN DAUGHTRIDGE LICENSED OPTICIAN (PRESIDENT)
(919) 832-3927
Entity
Organization
Contact information
Practice address
600 A WADE AVE, RALEIGH, NC 27605-3121
(919) 832-3927
(919) 832-0538
Mailing address
600 A WADE AVE, RALEIGH, NC 27605-3121
(919) 832-3927
(919) 832-0538
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
B0211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8801643
—
NC
Enumeration date
05/22/2007
Last updated
08/22/2020
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