Organization
LAWNDALE OPTOMETRY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOSEPH REBECK OD (PRESIDENT)
(336) 275-1254
Entity
Organization
Contact information
Practice address
2154-A LAWNDALE DRIVE, GREENSBORO, NC 27408-7102
(336) 275-1254
Mailing address
2154-A LAWNDALE DRIVE, GREENSBORO, NC 27408-7102
(336) 275-1254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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